Shannon R Bieber, PA-C
Individual provider Active NPI Physician Assistant · Petoskey, MI
NPI 1821273798 · NPPES record last updated Aug 22, 2013
Key facts
- NPI
- 1821273798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601005045 (MI)
- Practice address
- 1114 Charlevoix Ave
Petoskey, MI 49770-9701 - Phone
- (231) 439-9700
- Fax
- (231) 439-9709
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005045 | MI | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005045 | MI | Yes |
Addresses
Primary practice location
1114 Charlevoix Ave
Petoskey, MI 49770-9701
Mailing address
1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone (231) 439-9700
Other names
- Shannon R Parent
Other providers in Petoskey, MI
- Zelma Josie Bennett
- Beno Clinic Chiropractic Center, P.C.
- Ryan Ber
- Kathy Ann Berchem
- Shannon Marie Bice
- Andrew Bielaczyc
- Mark James Bielaczyc
- Sue Bissell I
- Thomas Richard Biziorek
- Paul D Blanchard
All providers in Petoskey, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.