Ingwersen, Shannon Taylor

Ingwersen, Shannon Taylor is an individual health care provider with primary practice located at 330 E Hibiscus Blvd , Melbourne FL 32901-3155. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is her primary health care specialty. Ingwersen, Shannon Taylor can be contacted via phone (321) 724-2229.

Contact Information

Primary practice address
330 E Hibiscus Blvd Melbourne FL 32901-3155
Phone: (321) 724-2229
Fax: (321) 728-6668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DR.0056592 Colorado
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME149728 Florida

Profile Details

NPI number 1902162019
LBN Legal business name Ingwersen, Shannon Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Jul 11th, 2023 - about 2 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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