Shannon, Patrick L.

Shannon, Patrick L. is an individual health care provider with primary practice located at 987 Boardman Canfield Rd , Boardman OH 44512-4222. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shannon, Patrick L. can be contacted via phone (330) 965-8760.

Contact Information

Primary practice address
987 Boardman Canfield Rd Boardman OH 44512-4222
Phone: (330) 965-8760
Fax: (330) 965-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35076264S Ohio

Profile Details

NPI number 1316933260
LBN Legal business name Shannon, Patrick L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316933260 NPPES
Ohio Other 97198 QUALCHOICE
Ohio Other 0300914 QUALCHOICE

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