Chatham, Shannon Lynn
Chatham, Shannon Lynn is an individual health care provider with primary practice located at 5151 Morning Sun Rd Ste D , Oxford OH 45056-9546. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chatham, Shannon Lynn can be contacted via phone (513) 523-4195.Contact Information
Primary practice address
5151 Morning Sun Rd Ste D
Oxford OH 45056-9546
Phone: (513) 523-4195
Fax: (513) 523-4353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Pennsylvania | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34.015237 | Ohio |
Profile Details
| NPI number | 1215420013 |
|---|---|
| LBN Legal business name | Chatham, Shannon Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2018 |
| Last updated | Oct 14th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215420013 | NPPES |
| Ohio | MEDICAID | 2565399 |
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