Goddard, Shannon M.

Goddard, Shannon M. is an individual health care provider with primary practice located at 7592 Broadway , Lemon Grove CA 91945-1604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Goddard, Shannon M. can be contacted via phone (619) 515-2300.

Contact Information

Primary practice address
7592 Broadway Lemon Grove CA 91945-1604
Phone: (619) 515-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3347 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 56072 California

Profile Details

NPI number 1780961417
LBN Legal business name Goddard, Shannon M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2011
Last updated Mar 25th, 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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