Gannon, Shanna M
Gannon, Shanna M is an individual health care provider with primary practice located at 2200 Whitney Ave Ste 270 , Hamden CT 06518-3694. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gannon, Shanna M can be contacted via phone (203) 281-7000.Contact Information
Primary practice address
2200 Whitney Ave Ste 270
Hamden CT 06518-3694
Phone: (203) 281-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2318 | Connecticut |
Profile Details
| NPI number | 1639403892 |
|---|---|
| LBN Legal business name | Gannon, Shanna M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2009 |
| Last updated | Feb 14th, 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 | 1639403892 | NPPES |
| Connecticut | MEDICAID | 003023181 |
Popular Providers
-
Johnson, Mark Daniel
13401 N Western Ave Ste 301 , Oklahoma City OK 73114-1411 -
Coyne, Joseph P.
12 E 87Th St Apt 6A , New York NY 10128-0549 -
Fusco, Casey J
275 Mount Carmel Ave , Hamden CT 06518-1961 -
Latronica, Kathleen
2408 Whitney Ave , Hamden CT 06518-3209 -
Robtoy, Sherri A
2408 Whitney Ave , Hamden CT 06518-3209 -
Simmons, Evans Kennard
32 Wiscassett Ave , Hamden CT 06518-2531 -
Amoroso, Angela Frances
2416 Whitney Ave Fl 1 , Hamden CT 06518-3248 -
Dall, Chris J
2408 Whitney Ave , Hamden CT 06518-3209