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:
Health care specialties
| Specialty | Code | License # | 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 5 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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