Maxon, Shannon Leigh

Maxon, Shannon Leigh is an individual health care provider with primary practice located at 33 Cosey Beach Ave , East Haven CT 06512-4905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maxon, Shannon Leigh can be contacted via phone (413) 530-1813.

Contact Information

Primary practice address
33 Cosey Beach Ave East Haven CT 06512-4905
Phone: (413) 530-1813
Fax: (203) 867-5509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001221 Connecticut

Profile Details

NPI number 1407900566
LBN Legal business name Maxon, Shannon Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 22nd, 2016 - about 10 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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