Routhouska, Shannon Brown
Routhouska, Shannon Brown is an individual health care provider with primary practice located at 220 Linden Oaks Ste 300 , Rochester NY 14625-2839. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Routhouska, Shannon Brown can be contacted via phone (585) 383-4420.Contact Information
Primary practice address
220 Linden Oaks Ste 300
Rochester NY 14625-2839
Phone: (585) 383-4420
Fax: (585) 383-4515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 233098-01 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 57.009255 | Ohio |
Profile Details
| NPI number | 1720282163 |
|---|---|
| LBN Legal business name | Routhouska, Shannon Brown |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Oct 20th, 2022 - about 2 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 | 1720282163 | NPPES |
| New York | Other | 233098 | MEDICAL LICENSE |
| New York | MEDICAID | 03135811 | MEDICAL LICENSE |
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