Ross, Shannon Barbara

Ross, Shannon Barbara is an individual health care provider with primary practice located at 2525 13Th St , Boulder CO 80304-4104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ross, Shannon Barbara can be contacted via phone (303) 449-6050.

Contact Information

Primary practice address
2525 13Th St Boulder CO 80304-4104
Phone: (303) 449-6050
Fax: (720) 565-4132
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002309 Colorado

Profile Details

NPI number 1588621445
LBN Legal business name Ross, Shannon Barbara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated May 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588621445 NPPES
Colorado MEDICAID 64373215

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