Pegram, Shannel Anyae

Pegram, Shannel Anyae is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop # 4554 , Jbsa Lackland TX 78236-5638. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pegram, Shannel Anyae can be contacted via phone (210) 292-6255.

Contact Information

Primary practice address
1100 Wilford Hall Loop # 4554 Jbsa Lackland TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 183218 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 183218 North Carolina

Profile Details

NPI number 1710248653
LBN Legal business name Pegram, Shannel Anyae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2012
Last updated Jul 27th, 2026 - about 3 months 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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