Active NPIIndividual provider

Ms. Shannon L Church, PA

Physician Assistant, Surgical in Springfield, Massachusetts

NPI Number1164750105
Practice location
271 Carew St, Springfield, MA 01104-2377
Fax
413-452-6080
Last updated
May 18, 2016

Shannon L. Church is a Physician Assistant, Surgical based in Springfield, MA. Shannon L. Church practices in Springfield, MA and has the professional credentials of PA. The NPI Number for Shannon L. Church is 1164750105 and holds a License No. PA3911 (MA). The current practice location address for Shannon L. Church is 271 Carew St, Springfield, MA 01104-2377 and can be reached out via phone at 413-748-9349 and via fax at 413-452-6080.

Provider Profile Details

NPI Number
1164750105
Provider Name
Shannon L. Church
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
271 Carew St, Springfield, MA 01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Ms. Shannon L. Lambert (Former Name)
Provider Enumeration Date
December 3, 2009
Last Update Date
May 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
271 Carew St
Springfield, MA 01104-2377
Zip
01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080
Springfield, MA 01104Get directions →

Provider Business Mailing Address Details

Address
271 Carew St
Springfield, MA 01104-2377
City
Springfield
State
MA
Zip
01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080

License Information

License Number
PA3911
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Shannon L Church, PA?

The NPI number of Ms. Shannon L Church, PA is 1164750105. It was assigned on December 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Shannon L Church, PA?

Ms. Shannon L Church, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA3911.

Where does Ms. Shannon L Church, PA practice?

The practice location is 271 Carew St, Springfield, MA 01104-2377. The office can be reached at 413-748-9349 (phone) or 413-452-6080 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164750105 directly on the NPPES registry website.

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