Shannon, Brian D

Shannon, Brian D is an individual health care provider with primary practice located at 752 Brookshire Dr Suite 3, Hermitage PA 16148-4510. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shannon, Brian D can be contacted via phone (724) 981-9310.

Contact Information

Primary practice address
752 Brookshire Dr Suite 3 Hermitage PA 16148-4510
Phone: (724) 981-9310
Fax: (724) 981-9312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD418206 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD418206 Pennsylvania

Profile Details

NPI number 1891765673
LBN Legal business name Shannon, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 8th, 2016 - about 9 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 1891765673 NPPES
Pennsylvania MEDICAID 0019085590010

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