Shannon, Brian D
Shannon, Brian D is an individual health care provider with primary practice located at 752 Brookshire Dr Suite 3, Hermitage PA 16148-4510. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shannon, Brian D can be contacted via phone (724) 981-9310.Contact Information
Primary practice address
752 Brookshire Dr Suite 3
Hermitage PA 16148-4510
Phone: (724) 981-9310
Fax: (724) 981-9312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD418206 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD418206 | Pennsylvania |
Profile Details
| NPI number | 1891765673 |
|---|---|
| LBN Legal business name | Shannon, Brian D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 8th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891765673 | NPPES |
| Pennsylvania | MEDICAID | 0019085590010 |
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