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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770542912 NPPES
Maine Other 035045 ANTHEM
Maine MEDICAID 331270099 ANTHEM
Maine Other 201837 ANTHEM

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