Duvernell, Shannon
Duvernell, Shannon is an individual health care provider with primary practice located at 4090 Briargate Pkwy , Colorado Springs CO 80920-7815. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Duvernell, Shannon can be contacted via phone (720) 777-1234.Contact Information
Primary practice address
4090 Briargate Pkwy
Colorado Springs CO 80920-7815
Phone: (720) 777-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.067151 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 69343-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DR.0068984 | Colorado |
Profile Details
| NPI number | 1265813562 |
|---|---|
| LBN Legal business name | Duvernell, Shannon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2015 |
| Last updated | Nov 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265813562 | NPPES |
| Wisconsin | MEDICAID | 1265813562 |
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