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
Phone: (812) 524-3328
Fax: (812) 524-3326
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750632949 | NPPES |
| Indiana | Other | P01588222 | MEDICARE RAILROAD PTAN |
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