Tierney, Shannon N
Tierney, Shannon N is an individual health care provider with primary practice located at 70 Medical Center Cir Ste 107&213 , Fishersville VA 22939-2273. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Tierney, Shannon N can be contacted via phone (540) 245-7705.Contact Information
Primary practice address
70 Medical Center Cir Ste 107&213
Fishersville VA 22939-2273
Phone: (540) 245-7705
Fax: (540) 245-7710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 249543 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD60090634 | Washington |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0116014011 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101267589 | Virginia |
Profile Details
| NPI number | 1003020660 |
|---|---|
| LBN Legal business name | Tierney, Shannon N |
| Credentials | MD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Nov 13th, 2023 - about 2 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 | 1003020660 | NPPES |
| Virginia | MEDICAID | 1003020660 |
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