Reynolds, Shannon

Reynolds, Shannon is an individual health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Reynolds, Shannon can be contacted via phone (928) 729-8132.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A135859 California

Profile Details

NPI number 1376912618
LBN Legal business name Reynolds, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Jan 28th, 2023 - about last year

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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