| Doctor Name: | MRS. SHANNON E NEUROHR |
| NPI Number: | 1023246899 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA053880 |
| Business Practice Address: | 647 N Broad Street Ext Suite 107 Grove City, PA - 161274604 |
| Business Phone Number: | 7244588460 |
| Business Fax Number: | 7244580137 |
| Mailing Address: | 647 N Broad Street Ext, Suite 107 GROVE CITY |
| State: | PA |
| Postal Code: | 161274604 |
| Phone Number: | 7244588460 |
| Fax Number: | 7244580137 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 08/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA053880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |