Loe, Shanan

Loe, Shanan is an individual health care provider with primary practice located at 4203 Belfort Road Suite 204, Jacksonville FL 32216-1463. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Loe, Shanan can be contacted via phone (904) 296-5688.

Contact Information

Primary practice address
4203 Belfort Road Suite 204 Jacksonville FL 32216-1463
Phone: (904) 296-5688
Fax: (904) 296-5699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME93888 Florida

Profile Details

NPI number 1437125093
LBN Legal business name Loe, Shanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated May 21st, 2014 - about 12 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 1437125093 NPPES
Georgia MEDICAID 788979252A
Georgia MEDICAID 2732653-00

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