Shannon, Grant
Shannon, Grant is an individual health care provider with primary practice located at 206 Cornelia St Suite 105, Plattsburgh NY 12901-2878. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Shannon, Grant can be contacted via phone (518) 561-5516.Contact Information
Primary practice address
206 Cornelia St Suite 105
Plattsburgh NY 12901-2878
Phone: (518) 561-5516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F308051-1 | New York |
Profile Details
| NPI number | 1881139863 |
|---|---|
| LBN Legal business name | Shannon, Grant |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2016 |
| Last updated | May 11th, 2017 - about 9 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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