Roscoe, Michael Shannon
Roscoe, Michael Shannon is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roscoe, Michael Shannon can be contacted via phone (765) 838-5100.Contact Information
Primary practice address
5165 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 838-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10000397A | Indiana |
Profile Details
| NPI number | 1548283823 |
|---|---|
| LBN Legal business name | Roscoe, Michael Shannon |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 18th, 2014 - about 10 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.
Popular Providers
-
Reisman, Jill M.
3900 St Francis Way Ste 200 , Lafayette IN 47905-4940 -
Harrington, Jennifer L.
841 S Highway 25 W # S Suite 5, Williamsburg KY 40769-4600 -
Block, Rachel
950 Park East Blvd , Lafayette IN 47905-0792 -
Jones, Richard N.
2600 Ferry St , Lafayette IN 47904 -
Dale, Amelia B
2600 Ferry St , Lafayette IN 47904-3055 -
Scott, Carol Marie
8415 Bellona Ln Suite 201, Baltimore MD 21204-2055 -
Wozniak, Patricia
3528 Round Rock Cir , Lafayette IN 47909-6239 -
Roberts, Olivia C
5165 Mccarty Ln , Lafayette IN 47905-8764