Shannon, Stratton John
Shannon, Stratton John is an individual health care provider with primary practice located at 175 West Broadway , Lincoln ME 04457-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shannon, Stratton John can be contacted via phone (207) 794-6700.Contact Information
Primary practice address
175 West Broadway
Lincoln ME 04457-0000
Phone: (207) 794-6700
Fax: (207) 794-6691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1569 | Maine |
Profile Details
| NPI number | 1770542912 |
|---|---|
| LBN Legal business name | Shannon, Stratton John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 15th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770542912 | NPPES |
| Maine | Other | 035045 | ANTHEM |
| Maine | MEDICAID | 331270099 | ANTHEM |
| Maine | Other | 201837 | ANTHEM |
Popular Providers
-
Adams, Katie Marie
175 W Broadway , Lincoln ME 04457 -
Penner, Timothy M.
609 Liberty St , Clay Center KS 67432-1564 -
Malik, Diksha
175 W Broadway , Lincoln ME 04457 -
Miranda, Roberto
1508 Dessau Ridge Ln Apt 602 Ste B, Austin TX 78754-2121 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Cassano, John
175 W Broadway , Lincoln ME 04457-4000 -
Wildenberg, Hope A
105 E Sydnor Ave Ste 100 , Ridgecrest CA 93555-5546