Dillon, Shannon Suzanne

Dillon, Shannon Suzanne is an individual health care provider with primary practice located at 703 Misty Ridge Cir , Folsom CA 95630-6245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dillon, Shannon Suzanne can be contacted via phone (916) 984-0544.

Contact Information

Primary practice address
703 Misty Ridge Cir Folsom CA 95630-6245
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A100107 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01085591A Indiana

Profile Details

NPI number 1770796955
LBN Legal business name Dillon, Shannon Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 2nd, 2022 - about 4 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 1770796955 NPPES
Indiana MEDICAID 300052110

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