Ross, Shannan C

Ross, Shannan C is an individual health care provider with primary practice located at 3780 Medina Rd Ste 220 , Medina OH 44256-9312. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ross, Shannan C can be contacted via phone (330) 723-6060.

Contact Information

Primary practice address
3780 Medina Rd Ste 220 Medina OH 44256-9312
Phone: (330) 723-6060
Fax: (330) 723-6462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-082532R Ohio

Profile Details

NPI number 1932105632
LBN Legal business name Ross, Shannan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 14th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932105632 NPPES
Ohio Other 7349474 AETNA
Ohio Other 000000298482 AETNA
Ohio MEDICAID 2401814 AETNA

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