Brown, Shannon Marie

Brown, Shannon Marie is an individual health care provider with primary practice located at 5515 Cleveland Ave Suite 5, Stevensville MI 49127-9670. 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. Brown, Shannon Marie can be contacted via phone (269) 429-9644.

Contact Information

Primary practice address
5515 Cleveland Ave Suite 5 Stevensville MI 49127-9670
Fax: (269) 429-4002
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003706 Michigan

Profile Details

NPI number 1821027269
LBN Legal business name Brown, Shannon Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 14th, 2013 - about 13 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 1821027269 NPPES
Michigan Other 970023780 RAILROAD MEDICARE

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