Bast, Shannon Michelle Root

Bast, Shannon Michelle Root is an sole proprietor health care provider with primary practice located at 12266 De Paul Dr Ste 205 , Bridgeton MO 63044-2514. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bast, Shannon Michelle Root can be contacted via phone (314) 218-2300.

Contact Information

Primary practice address
12266 De Paul Dr Ste 205 Bridgeton MO 63044-2514
Phone: (314) 218-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2020023147 Missouri

Profile Details

NPI number 1760946669
LBN Legal business name Bast, Shannon Michelle Root
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2019
Last updated Aug 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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