Younger, Shannon Johnson
Younger, Shannon Johnson is an sole proprietor health care provider with primary practice located at 724 Leigh Dr , Columbus MS 39705-3098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Younger, Shannon Johnson can be contacted via phone (662) 328-3375.Contact Information
Primary practice address
724 Leigh Dr
Columbus MS 39705-3098
Phone: (662) 328-3375
Fax: (662) 328-3395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9110198 | Florida |
Profile Details
| NPI number | 1164961629 |
|---|---|
| LBN Legal business name | Younger, Shannon Johnson |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2017 |
| Last updated | Apr 24th, 2020 - about 5 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 | 1164961629 | NPPES |
| Florida | Other | PA9110198 | 59-2455010 |
| Florida | Other | PA00395 | 59-2455010 |
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