Hewitt, Shannah Marie
Hewitt, Shannah Marie is an individual health care provider with primary practice located at 1201 N 175Th St , Shoreline WA 98133-5064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hewitt, Shannah Marie can be contacted via phone (206) 401-3200.Contact Information
Primary practice address
1201 N 175Th St
Shoreline WA 98133-5064
Phone: (206) 401-3200
Fax: (206) 401-3201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ML20008809 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD60014633 | Washington |
Profile Details
| NPI number | 1053522284 |
|---|---|
| LBN Legal business name | Hewitt, Shannah Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2007 |
| Last updated | Mar 15th, 2017 - about 9 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 | 1053522284 | NPPES |
| Washington | MEDICAID | 2013747 |
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