Shannon, Richard Daniel

Shannon, Richard Daniel is an individual health care provider with primary practice located at 906 S 4Th St , Montrose CO 81401-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shannon, Richard Daniel can be contacted via phone (970) 249-2291.

Contact Information

Primary practice address
906 S 4Th St Montrose CO 81401-4226
Phone: (970) 249-2291
Fax: (970) 240-3912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 19179 Colorado

Profile Details

NPI number 1861466328
LBN Legal business name Shannon, Richard Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 13th, 2010 - about 14 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 1861466328 NPPES
Colorado MEDICAID 01191790

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