Fourtner, Shannon

Fourtner, Shannon is an individual health care provider with primary practice located at 5762 E Main Street Rd Ste B , Batavia NY 14020-9621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Fourtner, Shannon can be contacted via phone (585) 201-7112.

Contact Information

Primary practice address
5762 E Main Street Rd Ste B Batavia NY 14020-9621
Phone: (585) 201-7112
Fax: (585) 201-7128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 35.141690 Ohio
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 236427 New York
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD2017-1044 New Mexico

Profile Details

NPI number 1225111651
LBN Legal business name Fourtner, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Sep 10th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225111651 NPPES
New York MEDICAID 02657463
New York Other 00027224401
New York Other 1212950
New York Other 000528154001
New York Other 050805000017
New York Other 1019564320001

Popular Providers