Taut, Shannon Leigh

Taut, Shannon Leigh is an individual health care provider with primary practice located at 39901 Traditions Dr Suite 240, Northville MI 48168-9493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Taut, Shannon Leigh can be contacted via phone (248) 305-4400.

Contact Information

Primary practice address
39901 Traditions Dr Suite 240 Northville MI 48168-9493
Phone: (248) 305-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67156-20 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301104680 Michigan

Profile Details

NPI number 1265845770
LBN Legal business name Taut, Shannon Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Feb 12th, 2020 - about 6 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 1265845770 NPPES
Wisconsin MEDICAID 1265845770

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