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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL E SHANNON

Active Sole Proprietor

MICHAEL E SHANNON is a Private Vehicle healthcare provider located in JEWELL RIDGE, Virginia. NPI 1235762345 is currently active in the NPPES registry. Verify at CMS.

Private Vehicle · JEWELL RIDGE, VA

Registration Details

NPI Number
1235762345
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2020 (6.5185130479508 yrs)
Last Updated
Feb 17, 2020
Sole Proprietor
Yes

Practice Information

Address
7928 BROWN MOUNTAIN RD
JEWELL RIDGE, VA, 246228640
Browse VA providers · Browse ZIP 24622
Phone
2768818875
Fax
2768818875
Primary Specialty
Private Vehicle
347C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.