Shannon, Amie B
Shannon, Amie B is an individual health care provider with primary practice located at 5326 O'Donovan Drive , Baton Rouge LA 70808-9153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Shannon, Amie B can be contacted via phone (225) 769-7546.Contact Information
Primary practice address
5326 O'Donovan Drive
Baton Rouge LA 70808-9153
Phone: (225) 769-7546
Fax: (225) 769-0471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 200217 | Louisiana |
Profile Details
| NPI number | 1386631935 |
|---|---|
| LBN Legal business name | Shannon, Amie B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Jan 20th, 2009 - about 15 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 | 1386631935 | NPPES |
| Louisiana | MEDICAID | 1628093 |
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