Shannon, Paul Jason

Shannon, Paul Jason is an individual health care provider with primary practice located at 21 Southdown Rd , Huntington NY 11743-2538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shannon, Paul Jason can be contacted via phone (631) 351-3763.

Contact Information

Primary practice address
21 Southdown Rd Huntington NY 11743-2538
Phone: (631) 351-3763
Fax: (631) 385-8210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 19650 Mississippi
Allopathic & Osteopathic Physicians / Urology 208800000X 263190 New York

Profile Details

NPI number 1851562342
LBN Legal business name Shannon, Paul Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Oct 5th, 2012 - about 12 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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