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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1538119607 | NPPES |
| Washington | MEDICAID | 1538119607 | |
| Washington | Other | 8954855 |
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