Shannon Lee West in Bloomington - Pediatrics
Shannon Lee West - NPI 1336286426
Shannon Lee West is a Pediatrics in Bloomington, Indiana. Shannon Lee West practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shannon Lee West is 1336286426. The last update date is 2007-07-08.
Shannon Lee West's current location address is 3245 Southern Oaks Dr, Bloomington, Indiana. You can contact this provider via phone number 8123341982 and fax number 8129611989. The mailing address for Shannon Lee West is 3245 Southern Oaks Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Lee West |
|---|---|
| Address | 3245 Southern Oaks Dr, Bloomington, Indiana |
| Phone Number | 8123341982 |
| Fax Number | 8129611989 |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1336286426 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3245 Southern Oaks Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474018000 |
| Phone Number | 8123341982 |
| Fax Number | 8129611989 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 31004243A |
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Post Comment/ Review Below
What is the Shannon Lee West's 1336286426?
The Shannon Lee West's NPI (National Provider Identifier) Number is 1336286426. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shannon Lee West is physically located?
The Shannon Lee West is situated at the following address: 3245 Southern Oaks Dr, Bloomington, IN 474018000.
What is Shannon Lee West's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Lee West is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 225Xp0200X.
On what date did Shannon Lee West receive its 1336286426 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Lee West was assigned its 1336286426 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shannon Lee West, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shannon Lee West, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.