Shannon, Lynwood Page

Shannon, Lynwood Page is an individual health care provider with primary practice located at 1120 Se Cary Pkwy Suite 100, Cary NC 27511-7413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Shannon, Lynwood Page can be contacted via phone (919) 467-4992.

Contact Information

Primary practice address
1120 Se Cary Pkwy Suite 100 Cary NC 27511-7413
Phone: (919) 467-4992
Fax: (919) 232-5150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 104126 North Carolina

Profile Details

NPI number 1295709459
LBN Legal business name Shannon, Lynwood Page
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1295709459 NPPES
Other 2525753 UNITED HEALTHCARE
MEDICAID 7936164 UNITED HEALTHCARE
Other 36164 UNITED HEALTHCARE

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