Shannon, Sarah

Shannon, Sarah is an individual health care provider with primary practice located at 6475 Farmdale Rd , Barboursville WV 25504-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shannon, Sarah can be contacted via phone (304) 529-7004.

Contact Information

Primary practice address
6475 Farmdale Rd Barboursville WV 25504-1321
Phone: (304) 529-7004
Fax: (304) 529-7303
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3008967 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17273-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN79730 West Virginia

Profile Details

NPI number 1033514146
LBN Legal business name Shannon, Sarah
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Apr 14th, 2023 - about last year

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 1033514146 NPPES
West Virginia MEDICAID 1033514146
West Virginia MEDICAID 7100387070
West Virginia MEDICAID 0129469

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