Christensen, Shane Randall

Christensen, Shane Randall is an individual health care provider with primary practice located at 7900 Lees Summit Road , Kansas City MO 66139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Christensen, Shane Randall can be contacted via phone (816) 404-7500.

Contact Information

Primary practice address
7900 Lees Summit Road Kansas City MO 66139
Phone: (816) 404-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R7A51 Missouri
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X R7A51 Missouri

Profile Details

NPI number 1487749859
LBN Legal business name Christensen, Shane Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 9th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487749859 NPPES
Missouri MEDICAID 201367224

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