Phipps, Shannon L
Phipps, Shannon L is an sole proprietor health care provider with primary practice located at 10121 W Clearwater Ave , Kennewick WA 99336-3500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phipps, Shannon L can be contacted via phone (509) 783-4949.Contact Information
Primary practice address
10121 W Clearwater Ave
Kennewick WA 99336-3500
Phone: (509) 783-4949
Fax: (509) 783-6827
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS9576 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60036526 | Washington |
Profile Details
NPI number | 1386693414 |
---|---|
LBN Legal business name | Phipps, Shannon L |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2006 |
Last updated | Nov 11th, 2021 - about 3 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 | 1386693414 | NPPES |
Washington | Other | G8878702 | MEDICARE PTAN |
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