Mckeeby, Shannon J
Mckeeby, Shannon J is an individual health care provider with primary practice located at 601 John St Ste M020, Bronson Family Practice Downtown, Kalamazoo MI 49007-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mckeeby, Shannon J can be contacted via phone (269) 341-8282.Contact Information
Primary practice address
601 John St Ste M020, Bronson Family Practice Downtown
Kalamazoo MI 49007-5341
Phone: (269) 341-8282
Fax: (269) 341-8258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301071826 | Michigan |
Profile Details
| NPI number | 1952371437 |
|---|---|
| LBN Legal business name | Mckeeby, Shannon J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952371437 | NPPES |
| Michigan | Other | CA4396 | RAILROAD MEDICARE |
| Michigan | MEDICAID | 4339108 | RAILROAD MEDICARE |
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