Shirley, Megan E Ganong

Shirley, Megan E Ganong is an individual health care provider with primary practice located at 10956 Donner Pass Rd Ste 230 , Truckee CA 96161-4862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shirley, Megan E Ganong can be contacted via phone (530) 582-3277.

Contact Information

Primary practice address
10956 Donner Pass Rd Ste 230 Truckee CA 96161-4862
Fax: (530) 550-6722
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 22841 California

Profile Details

NPI number 1134469687
LBN Legal business name Shirley, Megan E Ganong
Credentials PA-C, MPA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Feb 9th, 2018 - about 6 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 1134469687 NPPES
California Other 22841 PA-C LICENSE

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