MR. SHANNON RICHARD REED PEDORTHIST
NPI 1962724575
Specialist in Sacramento, CA
- Individual
- Male
- Specialist
About SHANNON REED
This page provides the complete NPI Profile along with additional information for Shannon Reed, a provider established in Sacramento, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1962724575 assigned on February 2010. The practitioner's primary taxonomy code is 174400000X with license number CPED3329 (CA). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1962724575 Verify this NPI
- Provider Name
- MR. SHANNON RICHARD REED PEDORTHIST
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 719 56TH ST SACRAMENTO, CA 95819
- Location Phone
- (916) 457-2726
- Location Fax
- (916) 457-2728
- Mailing Address
- 719 56TH ST SACRAMENTO, CA 95819
- Mailing Phone
- (916) 457-2726
- Mailing Fax
- (916) 457-2728
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-23-2010
- Last Update Date
- 05-21-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- CPED3329
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962724575, enumerated as an "individual" on February 23, 2010.
The provider is located at 719 56TH ST SACRAMENTO, CA 95819 and the phone number is (916) 457-2726.
Specialist with taxonomy code 174400000X.