Radgens, Shannon Thomas

Radgens, Shannon Thomas is an sole proprietor health care provider with primary practice located at 818 W King St Suite 301, Owosso MI 48867-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Radgens, Shannon Thomas can be contacted via phone (989) 729-4800.

Contact Information

Primary practice address
818 W King St Suite 301 Owosso MI 48867-2116
Phone: (989) 729-4800
Fax: (989) 729-4810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 5101013241 Michigan

Profile Details

NPI number 1316051949
LBN Legal business name Radgens, Shannon Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Feb 14th, 2013 - about 11 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 1316051949 NPPES
Michigan MEDICAID 4616511

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