Smith, Shannon S
Smith, Shannon S is an individual health care provider with primary practice located at 395 Westfield Rd , Noblesville IN 46060-1425. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Smith, Shannon S can be contacted via phone (317) 776-7407.Contact Information
Primary practice address
395 Westfield Rd
Noblesville IN 46060-1425
Phone: (317) 776-7407
Fax: (317) 776-7361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71005149A | Indiana |
Profile Details
| NPI number | 1770986721 |
|---|---|
| LBN Legal business name | Smith, Shannon S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2014 |
| Last updated | Sep 21st, 2020 - about 5 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 | 1770986721 | NPPES |
| Indiana | MEDICAID | 201254070 |
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