Roscoe, Michael Shannon

Roscoe, Michael Shannon is an individual health care provider with primary practice located at 5165 Mccarty Ln , Lafayette IN 47905-8764. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roscoe, Michael Shannon can be contacted via phone (765) 838-5100.

Contact Information

Primary practice address
5165 Mccarty Ln Lafayette IN 47905-8764
Phone: (765) 838-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 10000397A Indiana

Profile Details

NPI number 1548283823
LBN Legal business name Roscoe, Michael Shannon
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 18th, 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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