Valenzuela, Shannon Patrice
Valenzuela, Shannon Patrice is an individual health care provider with primary practice located at 13634 N. 93Rd Ave Suite 100, Peoria AZ 85381. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Valenzuela, Shannon Patrice can be contacted via phone (623) 933-0301.Contact Information
Primary practice address
13634 N. 93Rd Ave Suite 100
Peoria AZ 85381
Phone: (623) 933-0301
Fax: (623) 933-0224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 22718 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22718 | Arizona |
Profile Details
| NPI number | 1134118995 |
|---|---|
| LBN Legal business name | Valenzuela, Shannon Patrice |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jan 31st, 2024 - about last year |
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 | 1134118995 | NPPES |
| Arizona | Other | 22718 | STATE LICENSE |
| Arizona | MEDICAID | 380113 | STATE LICENSE |
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