Fanning, Shannon

Fanning, Shannon is an individual health care provider with primary practice located at 309 E 17Th Ave , Tyndall SD 57066-2228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fanning, Shannon can be contacted via phone (605) 933-1681.

Contact Information

Primary practice address
309 E 17Th Ave Tyndall SD 57066-2228
Phone: (605) 933-1681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1144913914
LBN Legal business name Fanning, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated May 30th, 2023 - about 3 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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