Johnson, Shannon Patrick

Johnson, Shannon Patrick is an individual health care provider with primary practice located at 1004 Hermitage Rd Bldg 2052, Norfolk VA 23521-5000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Johnson, Shannon Patrick can be contacted via phone (757) 462-3178.

Contact Information

Primary practice address
1004 Hermitage Rd Bldg 2052 Norfolk VA 23521-5000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1164635520
LBN Legal business name Johnson, Shannon Patrick
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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