Shonnard, Keith

Shonnard, Keith is an individual health care provider with primary practice located at 2874 N Carson St Ste 300 , Carson City NV 89706-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shonnard, Keith can be contacted via phone (775) 888-1180.

Contact Information

Primary practice address
2874 N Carson St Ste 300 Carson City NV 89706-1683
Phone: (775) 888-1180
Fax: (775) 852-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G87403 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 7398 Nevada

Profile Details

NPI number 1508898974
LBN Legal business name Shonnard, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Dec 18th, 2017 - about 7 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 1508898974 NPPES
California Other CK658Y MEDICARE PTAN
California MEDICAID 002013091 MEDICARE PTAN
California Other FS4913489 MEDICARE PTAN
California Other 300064321 MEDICARE PTAN

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