Micheel, Shannon Rae

Micheel, Shannon Rae is an individual health care provider with primary practice located at 2073 Olympic St , Springfield OR 97477-3413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Micheel, Shannon Rae can be contacted via phone (541) 682-3550.

Contact Information

Primary practice address
2073 Olympic St Springfield OR 97477-3413
Phone: (541) 682-3550
Fax: (541) 682-3551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200450100NP Oregon

Profile Details

NPI number 1477659472
LBN Legal business name Micheel, Shannon Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Apr 12th, 2011 - about 14 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 1477659472 NPPES
Oregon MEDICAID 227624

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