Mccole, Shannon Marie

Mccole, Shannon Marie is an individual health care provider with primary practice located at 600 Gresham Dr , Norfolk VA 23507-1904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mccole, Shannon Marie can be contacted via phone (757) 461-0050.

Contact Information

Primary practice address
600 Gresham Dr Norfolk VA 23507-1904
Phone: (757) 461-0050
Fax: (757) 461-4538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101056000 Virginia

Profile Details

NPI number 1598729444
LBN Legal business name Mccole, Shannon Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2006
Last updated Jan 27th, 2009 - about 15 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 1598729444 NPPES
Virginia MEDICAID 1598729444
Virginia Other 305196
Virginia MEDICAID 890591L
Virginia Other PAR
Virginia Other PAR
Virginia Other 4133834
Virginia Other 0591L
Virginia Other PAR
Virginia Other PAR
Virginia Other PAR
Virginia Other 305195
Virginia Other PAR
Virginia Other 60681
Virginia Other PAR
Virginia Other PAR
Virginia Other PAR
Virginia Other PAR

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