Bedja, Shannon Lea

Bedja, Shannon Lea is an individual health care provider with primary practice located at 225 S Pine St Ste 120 , Seymour IN 47274-2377. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bedja, Shannon Lea can be contacted via phone (812) 524-3328.

Contact Information

Primary practice address
225 S Pine St Ste 120 Seymour IN 47274-2377
Fax: (812) 524-3326
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004158A Indiana

Profile Details

NPI number 1750632949
LBN Legal business name Bedja, Shannon Lea
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2012
Last updated Mar 7th, 2023 - about 3 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 1750632949 NPPES
Indiana Other P01588222 MEDICARE RAILROAD PTAN

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