Shannon, Michael E

Shannon, Michael E is an individual health care provider with primary practice located at 800 N Center Pkwy , Kennewick WA 99336-7118. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shannon, Michael E can be contacted via phone (509) 783-0824.

Contact Information

Primary practice address
800 N Center Pkwy Kennewick WA 99336-7118
Phone: (509) 783-0824
Fax: (509) 783-9136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00004797 Washington

Profile Details

NPI number 1467542852
LBN Legal business name Shannon, Michael E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1467542852 NPPES
Washington Other DE00004797 STATE DENTAL LICENSE

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