Shannon, Michael Brendan

Shannon, Michael Brendan is an individual health care provider with primary practice located at 325 9Th Ave # 359606 , Seattle WA 98104-2420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shannon, Michael Brendan can be contacted via phone (206) 744-4933.

Contact Information

Primary practice address
325 9Th Ave # 359606 Seattle WA 98104-2420
Phone: (206) 744-4933
Fax: (206) 744-2252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60654692 Washington

Profile Details

NPI number 1538119607
LBN Legal business name Shannon, Michael Brendan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 21st, 2022 - about 3 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 1538119607 NPPES
Washington MEDICAID 1538119607
Washington Other 8954855

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