Haddock, David Shannon

Haddock, David Shannon is an individual health care provider with primary practice located at 9600 Broadway Ext , Oklahoma City OK 73114-7408. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Haddock, David Shannon can be contacted via phone (405) 230-9000.

Contact Information

Primary practice address
9600 Broadway Ext Oklahoma City OK 73114-7408
Phone: (405) 230-9000
Fax: (405) 230-9157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2005002890 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2055 Oklahoma

Profile Details

NPI number 1760458210
LBN Legal business name Haddock, David Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 5th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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