Zundel, Shannon Dawn
Zundel, Shannon Dawn is an individual health care provider with primary practice located at 185 Professional Court , Calhoun GA 30701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Zundel, Shannon Dawn can be contacted via phone (706) 383-3189.Contact Information
Primary practice address
185 Professional Court
Calhoun GA 30701
Phone: (706) 383-3189
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005735 | Georgia |
Profile Details
| NPI number | 1356665509 |
|---|---|
| LBN Legal business name | Zundel, Shannon Dawn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2010 |
| Last updated | Jan 13th, 2015 - about 9 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 | 1356665509 | NPPES |
| Georgia | MEDICAID | 003141153H | |
| Georgia | MEDICAID | 003141153D | |
| Georgia | MEDICAID | 003141153G | |
| Georgia | MEDICAID | 003141153E | |
| Georgia | MEDICAID | 003141153F |
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