Shanahan, Sandra C.

Shanahan, Sandra C. is an individual health care provider with primary practice located at 7556 Teague Road Suite 210, Hanover MD 21076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shanahan, Sandra C. can be contacted via phone (410) 551-0499.

Contact Information

Primary practice address
7556 Teague Road Suite 210 Hanover MD 21076
Phone: (410) 551-0499
Fax: (410) 799-9070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R121329 Maryland

Profile Details

NPI number 1033101928
LBN Legal business name Shanahan, Sandra C.
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Mar 12th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033101928 NPPES
Maryland Other 641932-02 CAREFIRST MD RENDERING OD
Maryland MEDICAID 405743100 CAREFIRST MD RENDERING OD
Maryland Other 7605-0067 CAREFIRST MD RENDERING OD
Maryland Other 107916 CAREFIRST MD RENDERING OD

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