Sheats, Shannon Michelle

Sheats, Shannon Michelle is an individual health care provider with primary practice located at 328 S Central Ave Ste 101 , Medford OR 97501-7274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Sheats, Shannon Michelle can be contacted via phone (541) 500-8195.

Contact Information

Primary practice address
328 S Central Ave Ste 101 Medford OR 97501-7274
Phone: (541) 500-8195
Fax: (541) 500-8196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201909972NP-PP Oregon

Profile Details

NPI number 1356561740
LBN Legal business name Sheats, Shannon Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Feb 10th, 2022 - about 4 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 1356561740 NPPES
Oregon MEDICAID 500653487

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