Medley, Shannon
Medley, Shannon is an individual health care provider with primary practice located at 1208 W 15Th St , Edmond OK 73013-3001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Medley, Shannon can be contacted via phone (405) 340-2100.Contact Information
Primary practice address
1208 W 15Th St
Edmond OK 73013-3001
Phone: (405) 340-2100
Fax: (405) 340-1184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1614 | Oklahoma |
Profile Details
| NPI number | 1376705806 |
|---|---|
| LBN Legal business name | Medley, Shannon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Nov 26th, 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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