Shannon, Timothy J
Shannon, Timothy J is an individual health care provider with primary practice located at 410 University Pkwy Suite 1000, Aiken SC 29801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Shannon, Timothy J can be contacted via phone (803) 644-4264.Contact Information
Primary practice address
410 University Pkwy Suite 1000
Aiken SC 29801
Phone: (803) 644-4264
Fax: (803) 649-0543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 17950 | South Carolina |
Profile Details
| NPI number | 1811968589 |
|---|---|
| LBN Legal business name | Shannon, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 9th, 2007 - about 17 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 | 1811968589 | NPPES |
| South Carolina | MEDICAID | T18656 |
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