Beierle, Shannon

Beierle, Shannon is an individual health care provider with primary practice located at 2175 Chambliss Ave Nw Ste D , Cleveland TN 37311-3842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Beierle, Shannon can be contacted via phone (423) 472-5423.

Contact Information

Primary practice address
2175 Chambliss Ave Nw Ste D Cleveland TN 37311-3842
Phone: (423) 472-5423
Fax: (423) 476-5523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 58625 Tennessee

Profile Details

NPI number 1497194336
LBN Legal business name Beierle, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Jul 26th, 2019 - about 7 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 1497194336 NPPES
Tennessee MEDICAID Q049496

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