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Contact Information

DORCAS C SHANNON
5592 SOUTH BLVD
MAPLE HEIGHTS, OH44137
 Phone: 216-571-6302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
 

Driver

172A00000X
 

Meals

174200000X
Indicates primary specialty

NPI Profile & details for DORCAS C SHANNON · (Female)

NPI Number 1477381440
Status Active
Credentials
Entity Individual
Enumeration date 07/22/2024
Last updated 07/22/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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