Sell, Shanon Mark

Sell, Shanon Mark is an individual health care provider with primary practice located at 1401 13Th Ave E , West Fargo ND 58078-3468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sell, Shanon Mark can be contacted via phone (701) 364-5751.

Contact Information

Primary practice address
1401 13Th Ave E West Fargo ND 58078-3468
Phone: (701) 364-5751
Fax: (701) 364-5722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41077 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6693 North Dakota

Profile Details

NPI number 1609895879
LBN Legal business name Sell, Shanon Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 29th, 2015 - about 10 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 1609895879 NPPES
Minnesota MEDICAID 812913400

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