O'Hagan, Shannon
O'Hagan, Shannon is an individual health care provider with primary practice located at 1920 Cordell Ct , El Cajon CA 92020-0900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. O'Hagan, Shannon can be contacted via phone (619) 258-7497.Contact Information
Primary practice address
1920 Cordell Ct
El Cajon CA 92020-0900
Phone: (619) 258-7497
Fax: (619) 258-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 27227 | California |
Profile Details
| NPI number | 1003818253 |
|---|---|
| LBN Legal business name | O'Hagan, Shannon |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003818253 | NPPES |
| California | Other | OPT272270 | BLUE SHIELD |
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