Burton-Shannon, Clarinda

Burton-Shannon, Clarinda is an individual health care provider with primary practice located at 1405 W Baddour Pkwy Ste 105 , Lebanon TN 37087-2568. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Burton-Shannon, Clarinda can be contacted via phone (615) 965-2467.

Contact Information

Primary practice address
1405 W Baddour Pkwy Ste 105 Lebanon TN 37087-2568
Phone: (615) 965-2467
Fax: (615) 965-2331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16592 Tennessee

Profile Details

NPI number 1881644763
LBN Legal business name Burton-Shannon, Clarinda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 20th, 2020 - about 6 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 1881644763 NPPES
Tennessee Other 3031979 MEDICARE PROVIDER NUMBER
Tennessee MEDICAID 3031979 MEDICARE PROVIDER NUMBER
Tennessee MEDICAID 3031977 MEDICARE PROVIDER NUMBER

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