Sgro, Shannon Rae

Sgro, Shannon Rae is an individual health care provider with primary practice located at 1412 Blue Oaks Blvd , Roseville CA 95747-7143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sgro, Shannon Rae can be contacted via phone (916) 784-7546.

Contact Information

Primary practice address
1412 Blue Oaks Blvd Roseville CA 95747-7143
Phone: (916) 784-7546
Fax: (916) 784-7548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15649 California

Profile Details

NPI number 1396790358
LBN Legal business name Sgro, Shannon Rae
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Aug 1st, 2016 - about 8 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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