Radomski, Shannon N

Radomski, Shannon N is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Radomski, Shannon N can be contacted via phone (410) 521-2200.

Contact Information

Primary practice address
5401 Old Court Rd Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax: (410) 521-7669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X D91293 Maryland

Profile Details

NPI number 1376002154
LBN Legal business name Radomski, Shannon N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2019
Last updated Jul 13th, 2021 - about 5 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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