Haggerty, Shannon

Haggerty, Shannon is an individual health care provider with primary practice located at 4440 Red Bank Rd Suite 210, Cincinnati OH 45227-2176. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Haggerty, Shannon can be contacted via phone (513) 272-0313.

Contact Information

Primary practice address
4440 Red Bank Rd Suite 210 Cincinnati OH 45227-2176
Phone: (513) 272-0313
Fax: (513) 272-0316
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 35.096520 Ohio

Profile Details

NPI number 1730390295
LBN Legal business name Haggerty, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Oct 27th, 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 1730390295 NPPES
Ohio MEDICAID 3145957

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