Shannon L Maxon, PA-C
Physician Assistant in East Haven, Connecticut
1407900566- Practice location
- 33 Cosey Beach Ave, East Haven, CT 06512-4905
- Phone
- 413-530-1813
- Fax
- 203-867-5509
- Last updated
- February 22, 2016
Shannon Leigh Maxon is a Physician Assistant based in East Haven, CT. Shannon Leigh Maxon practices in East Haven, CT and has the professional credentials of PA-C. The NPI Number for Shannon Leigh Maxon is 1407900566 and holds a License No. 001221 (CT). The current practice location address for Shannon Leigh Maxon is 33 Cosey Beach Ave, East Haven, CT 06512-4905 and can be reached out via phone at 413-530-1813 and via fax at 203-867-5509.
Provider Profile Details
- NPI Number
- 1407900566
- Provider Name
- Shannon Leigh Maxon
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 33 Cosey Beach Ave, East Haven, CT 06512-4905
- Phone Number
- 413-530-1813
- Fax Number
- 203-867-5509
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2007
- Last Update Date
- February 22, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 33 Cosey Beach Ave
East Haven, CT 06512-4905 - City
- East Haven
- State
- Connecticut
- Zip
- 06512-4905
- Phone Number
- 413-530-1813
- Fax Number
- 203-867-5509
Provider Business Mailing Address Details
- Address
- 33 Cosey Beach Ave
East Haven, CT 06512 - City
- East Haven
- State
- CT
- Zip
- 06512
- Phone Number
- 413-530-1813
- Fax Number
- 203-867-5509
License Information
- License Number
- 001221
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shannon L Maxon, PA-C?
The NPI number of Shannon L Maxon, PA-C is 1407900566. It was assigned on January 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Shannon L Maxon, PA-C?
Shannon L Maxon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 001221.
Where does Shannon L Maxon, PA-C practice?
The practice location is 33 Cosey Beach Ave, East Haven, CT 06512-4905. The office can be reached at 413-530-1813 (phone) or 203-867-5509 (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 1407900566 directly on the NPPES registry website.