Dewitt, Shannon M

Dewitt, Shannon M is an individual health care provider with primary practice located at 7950 W Jefferson Blvd Pharmacy-Second Floor, Fort Wayne IN 46804-4140. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dewitt, Shannon M can be contacted via phone (260) 435-7702.

Contact Information

Primary practice address
7950 W Jefferson Blvd Pharmacy-Second Floor Fort Wayne IN 46804-4140
Phone: (260) 435-7702
Fax: (260) 435-6869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 26019698A Indiana
Pharmacy Service Providers / Pharmacist 183500000X 03-2-23033 Ohio

Profile Details

NPI number 1952512196
LBN Legal business name Dewitt, Shannon M
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2007
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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