Whitlock, Shannon

Whitlock, Shannon is an individual health care provider with primary practice located at 19465 Deerfield Ave Suite 408, Lansdowne VA 20176-1701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Whitlock, Shannon can be contacted via phone (703) 723-6568.

Contact Information

Primary practice address
19465 Deerfield Ave Suite 408 Lansdowne VA 20176-1701
Phone: (703) 723-6568
Fax: (703) 423-4298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002157 Virginia

Profile Details

NPI number 1932274578
LBN Legal business name Whitlock, Shannon
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 6th, 2011 - about 15 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 1932274578 NPPES
Other J8110001 CAREFIRST
Other 144145 CAREFIRST
Other 321643 CAREFIRST
Other 672614 CAREFIRST
Other 3556360 CAREFIRST
Other 7758378 CAREFIRST

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