Stockwell, Shannon R

Stockwell, Shannon R is an individual health care provider with primary practice located at 2655 E Oakley Park Rd Ste 202 , Commerce Twp MI 48390-1684. 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. Stockwell, Shannon R can be contacted via phone (248) 487-8222.

Contact Information

Primary practice address
2655 E Oakley Park Rd Ste 202 Commerce Twp MI 48390-1684
Phone: (248) 487-8222
Fax: (832) 324-6942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601006541 Michigan

Profile Details

NPI number 1306190368
LBN Legal business name Stockwell, Shannon R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Feb 25th, 2022 - about 3 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.

Request for update

Popular Providers