Braun, Shannon Lee

Braun, Shannon Lee is an individual health care provider with primary practice located at 2560 N. Shadeland Avenue Suite A, Indianapolis IN 46219-1706. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Braun, Shannon Lee can be contacted via phone (317) 275-8072.

Contact Information

Primary practice address
2560 N. Shadeland Avenue Suite A Indianapolis IN 46219-1706
Phone: (317) 275-8072
Fax: (317) 275-8018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01044695A Indiana

Profile Details

NPI number 1154307049
LBN Legal business name Braun, Shannon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 8th, 2007 - about 19 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 1154307049 NPPES
Idaho Other 000000330226 ANTHEM

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