Shannon L Welner is a Medical in Verona, New Jersey. Shannon L Welner practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon L Welner is 1497966980. The last update date is 2007-07-08.
Shannon L Welner's current location address is 60 Pompton Ave, Verona, New Jersey. You can contact this provider via phone number 9735712121 and fax number 9735712126. The mailing address for Shannon L Welner is 60 Pompton Ave, Verona, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Welner |
|---|---|
| Address | 60 Pompton Ave, Verona, New Jersey |
| Phone Number | 9735712121 |
| Fax Number | 9735712126 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1497966980 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 60 Pompton Ave |
|---|---|
| City | Verona |
| State | New Jersey (NJ) |
| Post Code | 70442946 |
| Phone Number | 9735712121 |
| Fax Number | 9735712126 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 25MP00146000 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962428474 | NJ | GROUP NPI NUMBER | |
| 25MP00146000 | NJ | STATE LICENSE |
Post Comment/ Review Below
What is the Shannon L Welner's 1497966980?
The Shannon L Welner's NPI (National Provider Identifier) Number is 1497966980. 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 L Welner is physically located?
The Shannon L Welner is situated at the following address: 60 Pompton Ave, Verona, NJ 70442946.
What is Shannon L Welner'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 Shannon L Welner is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Shannon L Welner receive the assignment of its 1497966980 from the Centers for Medicare & Medicaid Services?
The Shannon L Welner was issued its 1497966980 by the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the Shannon L Welner's information last updated?
The Shannon L Welner's information was last updated on 2007-07-08.