Shanahan, Tonya D

Shanahan, Tonya D is an individual health care provider with primary practice located at 2731 Mlk Jr Blvd , Tuscaloosa AL 35401-5235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shanahan, Tonya D can be contacted via phone (205) 349-3250.

Contact Information

Primary practice address
2731 Mlk Jr Blvd Tuscaloosa AL 35401-5235
Phone: (205) 349-3250
Fax: (205) 345-3993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1082093 Alabama

Profile Details

NPI number 1992997415
LBN Legal business name Shanahan, Tonya D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Oct 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992997415 NPPES
Alabama MEDICAID 104109
Alabama Other 515-93760

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