Shannon, James Deane

Shannon, James Deane is an individual health care provider with primary practice located at 300 Foxglove Dr , Mt Sterling KY 40353-9769. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Shannon, James Deane can be contacted via phone (859) 498-2135.

Contact Information

Primary practice address
300 Foxglove Dr Mt Sterling KY 40353-9769
Phone: (859) 498-2135
Fax: (859) 498-7547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0655 Kentucky

Profile Details

NPI number 1649372228
LBN Legal business name Shannon, James Deane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1649372228 NPPES
Other 000000350194 ANTHEM BCBS
MEDICAID 30610026 ANTHEM BCBS

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