Corrigan, Shannon Taylor

Corrigan, Shannon Taylor is an individual health care provider with primary practice located at 400 S 43Rd St Er Dept, Renton WA 98055-5714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Corrigan, Shannon Taylor can be contacted via phone (425) 228-3450.

Contact Information

Primary practice address
400 S 43Rd St Er Dept Renton WA 98055-5714
Phone: (425) 228-3450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00041173 Washington

Profile Details

NPI number 1801819743
LBN Legal business name Corrigan, Shannon Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 4th, 2010 - about 16 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 1801819743 NPPES
Washington MEDICAID 8317091
Washington Other 0185268
Washington Other 5532CO

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