Todd, Michael Shannon

Todd, Michael Shannon is an individual health care provider with primary practice located at 3125 S Scatterfield Rd Ste 210 , Anderson IN 46013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Todd, Michael Shannon can be contacted via phone (765) 298-4311.

Contact Information

Primary practice address
3125 S Scatterfield Rd Ste 210 Anderson IN 46013
Phone: (765) 298-4311
Fax: (765) 298-4312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02002715A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 02002715A Indiana

Profile Details

NPI number 1922158997
LBN Legal business name Todd, Michael Shannon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922158997 NPPES
Indiana MEDICAID 300014911

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