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Contact Information

ROY C SHANNON, MD
2721 OLIVE HWY
STE 12
OROVILLE, CA95966
 Phone: 530-533-6061
 Fax: 530-533-4438
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROY C SHANNON · (Male)

NPI # 1104880335
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # C35734
  • CA Medicaid GR0014101
Hospital affiliation(s)
  • OROVILLE HOSPITAL - (Acute Care)
    2767 OLIVE HIGHWAY
    OROVILLE, CA 95966
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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