Ghizzoni, Shannon L

Ghizzoni, Shannon L is an individual health care provider with primary practice located at 1211 Dublin Rd Columbus, Columbus OH 43215-1091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ghizzoni, Shannon L can be contacted via phone (614) 486-5200.

Contact Information

Primary practice address
1211 Dublin Rd Columbus Columbus OH 43215-1091
Phone: (614) 486-5200
Fax: (614) 486-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50-002605 Ohio

Profile Details

NPI number 1205998432
LBN Legal business name Ghizzoni, Shannon L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Nov 9th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205998432 NPPES
Ohio MEDICAID 0213174
Ohio Other 31-1425166

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