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
Phone: (239) 432-5100
Fax: (239) 432-0629
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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