Shirley, Megan E Ganong
Shirley, Megan E Ganong is an individual health care provider with primary practice located at 3190 Fabian Way , Tahoe City CA 96145-2032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shirley, Megan E Ganong can be contacted via phone (530) 581-8864.Contact Information
Primary practice address
3190 Fabian Way
Tahoe City CA 96145-2032
Phone: (530) 581-8864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 22841 | California |
Profile Details
| NPI number | 1134469687 |
|---|---|
| LBN Legal business name | Shirley, Megan E Ganong |
| Credentials | PA-C, MPA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2013 |
| Last updated | Aug 5th, 2026 - about 3 months 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 | 1134469687 | NPPES |
| California | Other | 22841 | PA-C LICENSE |
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