Sullivan, Shannon A.
Sullivan, Shannon A. is an individual health care provider with primary practice located at 100 North Academy Ave. , Danville PA 17822-2019. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Sullivan, Shannon A. can be contacted via phone (570) 214-9585.Contact Information
Primary practice address
100 North Academy Ave.
Danville PA 17822-2019
Phone: (570) 214-9585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23319 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD461914 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD461914 | Pennsylvania |
Profile Details
| NPI number | 1336495621 |
|---|---|
| LBN Legal business name | Sullivan, Shannon A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Feb 11th, 2021 - 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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