Moore, Shannon Yvette

Moore, Shannon Yvette is an individual health care provider with primary practice located at 4311 3Rd Ave , San Diego CA 92103-1407. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Moore, Shannon Yvette can be contacted via phone (619) 278-6533.

Contact Information

Primary practice address
4311 3Rd Ave San Diego CA 92103-1407
Phone: (619) 278-6533
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00038091 Washington
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A51421 California

Profile Details

NPI number 1184715732
LBN Legal business name Moore, Shannon Yvette
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 21st, 2010 - about 16 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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