Shannon, Nancy Jean
Shannon, Nancy Jean is an sole proprietor health care provider with primary practice located at 1650 Haslett Rd Suite 1, Haslett MI 48840-8438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Shannon, Nancy Jean can be contacted via phone (517) 339-4107.Contact Information
Primary practice address
1650 Haslett Rd Suite 1
Haslett MI 48840-8438
Phone: (517) 339-4107
Fax: (517) 339-4336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | NS073455 | Michigan |
Profile Details
| NPI number | 1588670111 |
|---|---|
| LBN Legal business name | Shannon, Nancy Jean |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1588670111 | NPPES |
| Michigan | MEDICAID | 4526871 |
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