Mccallum, Shannon

Mccallum, Shannon is an individual health care provider with primary practice located at 22101 Moross Rd , Detroit MI 48236-2148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Mccallum, Shannon can be contacted via phone (313) 343-8777.

Contact Information

Primary practice address
22101 Moross Rd Detroit MI 48236-2148
Phone: (313) 343-8777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704131498 Michigan

Profile Details

NPI number 1649339342
LBN Legal business name Mccallum, Shannon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
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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