Taylor, Shannon V.

Taylor, Shannon V. is an individual health care provider with primary practice located at 698 Featherstone Rd , Rockford IL 61107-6303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Taylor, Shannon V. can be contacted via phone (815) 398-3277.

Contact Information

Primary practice address
698 Featherstone Rd Rockford IL 61107-6303
Phone: (815) 398-3277
Fax: (815) 484-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085001215 Illinois

Profile Details

NPI number 1265412084
LBN Legal business name Taylor, Shannon V.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Sep 21st, 2011 - about 13 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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