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Contact Information

SHANNON D EVANS, DO
4745 BOARDWALK DRIVE UNIT C3
FORT COLLINS, CO80525
 Phone: 970-305-0101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHANNON D EVANS · (Female)

NPI # 1003071804
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/22/2008
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0060131
  • HI License # DOS-1720
  • WY License # 8365A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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