Shannon, Moira
Shannon, Moira is an individual health care provider with primary practice located at 2500 N Silverbell Rd Suite 100, Tucson AZ 85745-7062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Shannon, Moira can be contacted via phone (520) 777-2288.Contact Information
Primary practice address
2500 N Silverbell Rd Suite 100
Tucson AZ 85745-7062
Phone: (520) 777-2288
Fax: (520) 777-2290
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 12820 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 12820 | Arizona |
Profile Details
| NPI number | 1346228996 |
|---|---|
| LBN Legal business name | Shannon, Moira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 22nd, 2011 - about 15 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 | 1346228996 | NPPES |
| Arizona | MEDICAID | 246521 |
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