Shannon, Michael A

Shannon, Michael A is an individual health care provider with primary practice located at 1515 Sw Cary Pkwy Suite 130, Cary NC 27511-6224. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Shannon, Michael A can be contacted via phone (919) 387-3180.

Contact Information

Primary practice address
1515 Sw Cary Pkwy Suite 130 Cary NC 27511-6224
Phone: (919) 387-3180
Fax: (919) 387-3145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 960046 North Carolina

Profile Details

NPI number 1780797746
LBN Legal business name Shannon, Michael A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 2nd, 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 1780797746 NPPES
North Carolina MEDICAID 7003831

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