Shannon, Sean Edward

Shannon, Sean Edward is an individual health care provider with primary practice located at 7777 Hennessy Blvd Suite 501A, Baton Rouge LA 70808-4300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Shannon, Sean Edward can be contacted via phone (225) 765-6505.

Contact Information

Primary practice address
7777 Hennessy Blvd Suite 501A Baton Rouge LA 70808-4300
Phone: (225) 765-6505
Fax: (225) 765-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200425 Louisiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD.200425 Louisiana

Profile Details

NPI number 1619995487
LBN Legal business name Shannon, Sean Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 9th, 2021 - about 4 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 1619995487 NPPES
Louisiana MEDICAID 1628891

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