Calvert, Shannon Leigh

Calvert, Shannon Leigh is an individual health care provider with primary practice located at 1195 N Oakland Ave Suite 2, Bolivar MO 65613-8095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Calvert, Shannon Leigh can be contacted via phone (417) 777-2121.

Contact Information

Primary practice address
1195 N Oakland Ave Suite 2 Bolivar MO 65613-8095
Phone: (417) 777-2121
Fax: (417) 777-2854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2004015320 Missouri

Profile Details

NPI number 1902919814
LBN Legal business name Calvert, Shannon Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Feb 23rd, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902919814 NPPES
Missouri Other 000000000 NO NUMBER AVAILABLE

Popular Providers