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
Fax: (405) 340-1184
Website:

Health care specialties

SpecialtyCodeLicense #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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