Tiedeken, Shannon Doyle
Tiedeken, Shannon Doyle is an sole proprietor health care provider with primary practice located at 101 Applied Bank Blvd Ste 11 Nemours Dupont Pediatrics, Glen Mills Urgent Care, Glen Mills PA 19342-3501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tiedeken, Shannon Doyle can be contacted via phone (484) 800-8630.Contact Information
Primary practice address
101 Applied Bank Blvd Ste 11 Nemours Dupont Pediatrics, Glen Mills Urgent Care
Glen Mills PA 19342-3501
Phone: (484) 800-8630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD454113 | Pennsylvania |
Profile Details
| NPI number | 1225395999 |
|---|---|
| LBN Legal business name | Tiedeken, Shannon Doyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2012 |
| Last updated | Mar 17th, 2017 - about 9 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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