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Contact Information

SHANNON EASTON CARR, MD
2102 EDSEL AVE
MODESTO, CA95350-2819
 Phone: 805-762-4739
 Fax: 888-462-8045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for SHANNON EASTON CARR · (Female)

NPI # 1508091711
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2009
Last updated 06/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A111411
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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