Pickens, Shannon C
Pickens, Shannon C is an individual health care provider with primary practice located at 3926 Barron St Ste C208 , Metairie LA 70002-5797. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Pickens, Shannon C can be contacted via phone (504) 354-2064.Contact Information
Primary practice address
3926 Barron St Ste C208
Metairie LA 70002-5797
Phone: (504) 354-2064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD025591 | Louisiana |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 025591 | Louisiana |
Profile Details
| NPI number | 1720267560 |
|---|---|
| LBN Legal business name | Pickens, Shannon C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Sep 19th, 2023 - about 2 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 | 1720267560 | NPPES |
| Louisiana | MEDICAID | 1050342 | |
| Louisiana | Other | MD025591 |
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