Shannon, Frederick Brett

Shannon, Frederick Brett is an individual health care provider with primary practice located at 15821 Hollyfern Ct , Ft. Myers FL 33908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shannon, Frederick Brett can be contacted via phone (239) 432-5100.

Contact Information

Primary practice address
15821 Hollyfern Ct Ft. Myers FL 33908
Fax: (239) 432-0629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS4993 Florida

Profile Details

NPI number 1518971225
LBN Legal business name Shannon, Frederick Brett
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 6th, 2018 - about 7 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 1518971225 NPPES
Florida MEDICAID 372036500
Florida Other 2017372-007
Florida Other 4283415
Florida Other 80729
Florida Other 207270
Florida Other 195066
Florida Other 16065

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