Shannon, John P
Shannon, John P is an individual health care provider with primary practice located at 301 W Poplar Suite 210, Walla Walla WA 99362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shannon, John P can be contacted via phone (509) 522-5825.Contact Information
Primary practice address
301 W Poplar Suite 210
Walla Walla WA 99362
Phone: (509) 522-5825
Fax: (509) 529-3512
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15136 | Washington |
Profile Details
| NPI number | 1982610903 |
|---|---|
| LBN Legal business name | Shannon, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Mar 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982610903 | NPPES |
| Washington | MEDICAID | 1696004 |
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