Shannon, Michael James

Shannon, Michael James is an sole proprietor health care provider with primary practice located at 12406 State Highway 155 S , Tyler TX 75703-6446. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Shannon, Michael James can be contacted via phone (903) 592-8931.

Contact Information

Primary practice address
12406 State Highway 155 S Tyler TX 75703-6446
Phone: (903) 592-8931
Fax: (903) 592-8922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 85900 Texas

Profile Details

NPI number 1922480326
LBN Legal business name Shannon, Michael James
Credentials ATP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated Jun 20th, 2024 - about 6 months 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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