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
Fax: (509) 783-6827
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386693414 NPPES
Washington Other G8878702 MEDICARE PTAN

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