Shannon, Travis M.

Shannon, Travis M. is an individual health care provider with primary practice located at 3533 Keagy Rd , Salem VA 24153-7312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shannon, Travis M. can be contacted via phone (540) 989-5700.

Contact Information

Primary practice address
3533 Keagy Rd Salem VA 24153-7312
Phone: (540) 989-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401410489 Virginia

Profile Details

NPI number 1669599924
LBN Legal business name Shannon, Travis M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 29th, 2020 - 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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