Betzing, Shannon Lea

Betzing, Shannon Lea is an individual health care provider with primary practice located at 2727 Hearne Ave Suite 300, Shreveport LA 71103-3931. 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. Betzing, Shannon Lea can be contacted via phone (318) 798-9400.

Contact Information

Primary practice address
2727 Hearne Ave Suite 300 Shreveport LA 71103-3931
Phone: (318) 798-9400
Fax: (318) 798-3894
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200377 Louisiana

Profile Details

NPI number 1952610883
LBN Legal business name Betzing, Shannon Lea
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2010
Last updated Apr 9th, 2012 - about 14 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 1952610883 NPPES
Louisiana MEDICAID 2136364

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