| Shannon Jap Md Llc | |
|
571 High St Ste 11 Worthington OH 43085-4132 | |
| (614) 226-5484 | |
| (937) 606-3077 |
| Full Name | Shannon Jap Md Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 571 High St Ste 11, Worthington, Ohio |
| Authorized Official Name and Position | Shannon Nicole Jap (OWNER) |
| Authorized Official Contact | 6142265484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Jap Md Llc 571 High St Ste 11 Worthington OH 43085-4132 Ph: (614) 226-5484 | Shannon Jap Md Llc 571 High St Ste 11 Worthington OH 43085-4132 Ph: (614) 226-5484 |
| NPI Number | 1962986372 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962986372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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