Plumb, Shannon Alin
Plumb, Shannon Alin is an individual health care provider with primary practice located at 3315 Kethley Rd , Shawnee OK 74804-9638. 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. Plumb, Shannon Alin can be contacted via phone (405) 273-5801.Contact Information
Primary practice address
3315 Kethley Rd
Shawnee OK 74804-9638
Phone: (405) 273-5801
Fax: (405) 878-3814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1691 | Oklahoma |
Profile Details
NPI number | 1275701492 |
---|---|
LBN Legal business name | Plumb, Shannon Alin |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 11th, 2008 |
Last updated | Aug 31st, 2012 - about 12 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 | 1275701492 | NPPES |
Oklahoma | MEDICAID | 200131140A |
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