Carolyn Jean Shannon in Council Bluffs - Clinical
Carolyn Jean Shannon - NPI 1578786489
Carolyn Jean Shannon is a Clinical in Council Bluffs, Iowa. Carolyn Jean Shannon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carolyn Jean Shannon is 1578786489. The last update date is 2007-07-08.
Carolyn Jean Shannon's current location address is 300 W Broadway, Council Bluffs, Iowa. You can contact this provider via phone number 7123283086 and fax number 7123281346. The mailing address for Carolyn Jean Shannon is 300 W Broadway, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Jean Shannon |
|---|---|
| Address | 300 W Broadway, Council Bluffs, Iowa |
| Phone Number | 7123283086 |
| Fax Number | 7123281346 |
| Sole Proprietor | N |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1578786489 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 W Broadway |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515039045 |
| Phone Number | 7123283086 |
| Fax Number | 7123281346 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5910 |
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What is the unique provider identifier assigned to Carolyn Jean Shannon?
The Carolyn Jean Shannon has been issued the NPI (National Provider Identifier) 1578786489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Carolyn Jean Shannon?
The Carolyn Jean Shannon is physically situated at 300 W Broadway, in the city of Council Bluffs, state of IA, with the postal code 515039045.
What is Carolyn Jean Shannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carolyn Jean Shannon is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date was the 1578786489 assigned to Carolyn Jean Shannon?
The Carolyn Jean Shannon was issued its 1578786489 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Carolyn Jean Shannon most recently updated or revised?
The information pertaining to Carolyn Jean Shannon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.