Twiddy, Shannon Keith
Twiddy, Shannon Keith is an sole proprietor health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Twiddy, Shannon Keith can be contacted via phone (269) 687-0200.Contact Information
Primary practice address
2002 S 11Th St
Niles MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 471-7741
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9601201 | North Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301093962 | Michigan |
Profile Details
| NPI number | 1386899292 |
|---|---|
| LBN Legal business name | Twiddy, Shannon Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Dec 17th, 2013 - about 12 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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