O'Bryan, Shannon
O'Bryan, Shannon is an individual health care provider with primary practice located at 699 W Cocoa Beach Cswy Suite 601, Cocoa Beach FL 32931-3577. 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. O'Bryan, Shannon can be contacted via phone (321) 783-2486.Contact Information
Primary practice address
699 W Cocoa Beach Cswy Suite 601
Cocoa Beach FL 32931-3577
Phone: (321) 783-2486
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101898 | Florida |
Profile Details
NPI number | 1790720670 |
---|---|
LBN Legal business name | O'Bryan, Shannon |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790720670 | NPPES |
Florida | Other | PA9101898 | LICENSE |
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