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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730390295 | NPPES |
| Ohio | MEDICAID | 3145957 |
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