Shannon, Peter Andrew

Shannon, Peter Andrew is an individual health care provider with primary practice located at 2070 Biddle Ave , Wyandotte MI 48192-4080. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Shannon, Peter Andrew can be contacted via phone (734) 225-9100.

Contact Information

Primary practice address
2070 Biddle Ave Wyandotte MI 48192-4080
Phone: (734) 225-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005978 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1891081626
LBN Legal business name Shannon, Peter Andrew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated Feb 16th, 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.

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