Individual provider · Type 1 NPI

Michael E. Shannon

Private Vehicle · Jewell Ridge, VA

NPI number 1235762345 Active

Practice location

7928 Brown Mountain Rd
Jewell Ridge, VA 24622-8640

Call (276) 881-8875 Map

Fax (276) 881-8875

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XNone listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1235762345

Michael E. Shannon's National Provider Identifier is 1235762345, issued on Feb 17, 2020. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Jewell Ridge, VA. The record was last updated on Feb 17, 2020.