Small, Shannon F.
Small, Shannon F. is an individual health care provider with primary practice located at 800 E Carpenter St , Springfield IL 62702-5324. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Small, Shannon F. can be contacted via phone (217) 757-6570.Contact Information
Primary practice address
800 E Carpenter St
Springfield IL 62702-5324
Phone: (217) 757-6570
Fax: (217) 757-6573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 0101249001 | Virginia |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 036143686 | Illinois |
Profile Details
| NPI number | 1932360161 |
|---|---|
| LBN Legal business name | Small, Shannon F. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2008 |
| Last updated | Jan 21st, 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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