Shannon, Gregory D

Shannon, Gregory D is an individual health care provider with primary practice located at 72780 Country Club Dr Bldg B 203, Rancho Mirage CA 92270-4126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shannon, Gregory D can be contacted via phone (760) 674-3847.

Contact Information

Primary practice address
72780 Country Club Dr Bldg B 203 Rancho Mirage CA 92270-4126
Phone: (760) 674-3847
Fax: (760) 674-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13960 California

Profile Details

NPI number 1225049984
LBN Legal business name Shannon, Gregory D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 7th, 2023 - about last year

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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