Malouf, Shannon Marie

Malouf, Shannon Marie is an individual health care provider with primary practice located at 2201 Courage Dr , Fairfield CA 94533-6733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Malouf, Shannon Marie can be contacted via phone (707) 784-2001.

Contact Information

Primary practice address
2201 Courage Dr Fairfield CA 94533-6733
Phone: (707) 784-2001
Fax: (707) 784-1494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22896 California

Profile Details

NPI number 1063857977
LBN Legal business name Malouf, Shannon Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Jan 11th, 2022 - 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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