Individual
SHANNON ELIZABETH PROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
951 E MARKET ST, CADIZ, OH 43907-9799
(740) 942-8638
(740) 942-9052
Mailing address
951 E MARKET ST, CADIZ, OH 43907-9799
(740) 942-8638
(740) 942-9052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007308RX
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/16/2021
Last updated
01/08/2025
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