Ross, Shannon A
Ross, Shannon A is an sole proprietor health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Ross, Shannon A can be contacted via phone (205) 996-7782.Contact Information
Primary practice address
1600 7Th Ave S
Birmingham AL 35233-1711
Phone: (205) 996-7782
Fax: (205) 975-6549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 24303 | Alabama |
Profile Details
| NPI number | 1598707267 |
|---|---|
| LBN Legal business name | Ross, Shannon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jan 14th, 2011 - about 13 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 | 1598707267 | NPPES |
| Alabama | MEDICAID | 009920795 | |
| Alabama | MEDICAID | 009920745 |
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