Shannon, Michael
Shannon, Michael is an individual health care provider with primary practice located at 13360 Coursey Blvd Ste D , Baton Rouge LA 70816-4970. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Shannon, Michael can be contacted via phone (225) 752-1252.Contact Information
Primary practice address
13360 Coursey Blvd Ste D
Baton Rouge LA 70816-4970
Phone: (225) 752-1252
Fax: (225) 752-8348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | 5277 | Louisiana |
Profile Details
| NPI number | 1912103946 |
|---|---|
| LBN Legal business name | Shannon, Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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