Trotter, Shannon Campbell

Trotter, Shannon Campbell is an individual health care provider with primary practice located at 30 W Mccreight Ave Suite 110, Springfield OH 45504-1842. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Trotter, Shannon Campbell can be contacted via phone (937) 523-9880.

Contact Information

Primary practice address
30 W Mccreight Ave Suite 110 Springfield OH 45504-1842
Phone: (937) 523-9880
Fax: (937) 523-9899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.009495 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.013026 Ohio

Profile Details

NPI number 1124231154
LBN Legal business name Trotter, Shannon Campbell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 21st, 2017 - about 7 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 1124231154 NPPES
Ohio MEDICAID 0052162

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