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Dr. Tim Paul Shannon

General Practice Physician

205 Clark Pl Se
Tumwater , Washington 98501-4062

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Dr. Tim Paul Shannon

General Practice Physician

205 Clark Pl Se
Tumwater , Washington 98501-4062

(360) 570-2060

Write a Review Save Call

Dr. Tim Paul Shannon

General Practice Physician

205 Clark Pl Se
Tumwater , Washington 98501-4062

(360) 570-2060 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • General Practice Physician

Languages spoken

  • English

Location

205 Clark Pl Se Tumwater , Washington 98501-4062

First Address

  • Dr. Tim Paul Shannon
  • 205 Clark Pl Se
  • Tumwater, WA
  • Zip : 98501-4062
  • Fax : (360) 570-2060
  • Phone : (360) 570-0401

Second Address

  • Dr. Tim Paul Shannon
  • 205 Clark Pl Se
  • Tumwater, WA
  • Zip : 98501-4062
  • Fax : (360) 570-2060
  • Phone : (360) 570-0401

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FAQs


Where did Dr. Tim Paul Shannon attend graduate school?

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Where did Dr. Tim Paul Shannon do his residency?

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Where did Dr. Tim Paul Shannon do his fellowship?

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Is Dr. Tim Paul Shannon board certified?

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What type of doctor is Dr. Tim Paul Shannon

General Practice Physician

In what state does Dr. Tim Paul Shannon practice in?

Washington

Where is Dr. Tim Paul Shannon ’s practice located?

205 Clark Pl Se , Tumwater, Washington, 98501-4062

What is Dr. Tim Paul Shannon ’s gender?

Male

Is Dr. Tim Paul Shannon a sole practitioner?

No

Is Dr. Tim Paul Shannon accepting new patients?

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What languages does Dr. Tim Paul Shannon speak?

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Does Dr. Tim Paul Shannon accept insurance?

Yes, Dr. Tim Paul Shannon accepts insurance

Does Dr. Tim Paul Shannon offers telemedicine?

Dr. Tim Paul Shannon has not indicated if he offers telemedicine

What is Dr. Tim Paul Shannon ’s professional license number?

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What is Dr. Tim Paul Shannon ’s NPI number?

1023263027

Does Dr. Tim Paul Shannon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 208D00000X General Practice Physician NT60332027 WA

National Provider Identifier

NPI 1023263027
Provider Name Dr. Tim Paul Shannon
First Address Tumwater, WA 98501-4062
Second Address Tumwater, WA 98501-4062
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 19/11/2008
Last Update Date 14/03/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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