Shannon, Mitsuko P.

Shannon, Mitsuko P. is an individual health care provider with primary practice located at 706 W King St , Kings Mountain NC 28086-2708. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Shannon, Mitsuko P. can be contacted via phone (980) 487-5470.

Contact Information

Primary practice address
706 W King St Kings Mountain NC 28086-2708
Phone: (980) 487-5470
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 9300804 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 9300804 North Carolina

Profile Details

NPI number 1689694374
LBN Legal business name Shannon, Mitsuko P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 15th, 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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