Thomas, Richard Shannon

Thomas, Richard Shannon is an individual health care provider with primary practice located at 6000 Hospital Dr , Hannibal MO 63401-6887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thomas, Richard Shannon can be contacted via phone (573) 248-5100.

Contact Information

Primary practice address
6000 Hospital Dr Hannibal MO 63401-6887
Phone: (573) 248-5100
Fax: (573) 248-5114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2021014796 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101023483 Michigan

Profile Details

NPI number 1841711959
LBN Legal business name Thomas, Richard Shannon
Credentials JD, DO
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841711959 NPPES
Michigan Other 5101023483 STATE OF MICHIGAN

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