Fish, Shannon Marjorie

Fish, Shannon Marjorie is an individual health care provider with primary practice located at 450 Broadway St Pavilion A, 1St Floor, Redwood City CA 94063-3132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fish, Shannon Marjorie can be contacted via phone (650) 723-6238.

Contact Information

Primary practice address
450 Broadway St Pavilion A, 1St Floor Redwood City CA 94063-3132
Phone: (650) 723-6238
Fax: (650) 721-3417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17422 California

Profile Details

NPI number 1255598793
LBN Legal business name Fish, Shannon Marjorie
Credentials SHANNON FISH PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2008
Last updated Aug 3rd, 2012 - about 14 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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