Shannon, Stratton John
Shannon, Stratton John is an individual health care provider with primary practice located at 175 West Broadway , Lincoln ME 04457-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shannon, Stratton John can be contacted via phone (207) 794-6700.Contact Information
Primary practice address
175 West Broadway
Lincoln ME 04457-0000
Phone: (207) 794-6700
Fax: (207) 794-6691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1569 | Maine |
Profile Details
| NPI number | 1770542912 |
|---|---|
| LBN Legal business name | Shannon, Stratton John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 15th, 2015 - about 11 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 | 1770542912 | NPPES |
| Maine | Other | 035045 | ANTHEM |
| Maine | MEDICAID | 331270099 | ANTHEM |
| Maine | Other | 201837 | ANTHEM |
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