Hidalgo, Shannon Troy

Hidalgo, Shannon Troy is an sole proprietor health care provider with primary practice located at 550 East Sale Road , Lake Charles LA 70609-5052. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hidalgo, Shannon Troy can be contacted via phone (337) 475-5748.

Contact Information

Primary practice address
550 East Sale Road Lake Charles LA 70609-5052
Phone: (337) 475-5748
Fax: (337) 478-6196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP04423 Louisiana

Profile Details

NPI number 1679537989
LBN Legal business name Hidalgo, Shannon Troy
Credentials DNP, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Jun 29th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679537989 NPPES
Louisiana MEDICAID 1466158

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