Parkos, Shannon Jo
Parkos, Shannon Jo is an individual health care provider with primary practice located at 15290 Pennock Ln Mail Stop 32200A, Apple Valley MN 55124-7163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Parkos, Shannon Jo can be contacted via phone (952) 431-8500.Contact Information
Primary practice address
15290 Pennock Ln Mail Stop 32200A
Apple Valley MN 55124-7163
Phone: (952) 431-8500
Fax: (952) 431-6966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45472 | Minnesota |
Profile Details
| NPI number | 1578534269 |
|---|---|
| LBN Legal business name | Parkos, Shannon Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jan 24th, 2020 - about 4 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 | 1578534269 | NPPES |
| Minnesota | MEDICAID | 552432600 |
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