Conner, Shayna N

Conner, Shayna N is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 2007B , Saint Louis MO 63141-8265. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Conner, Shayna N can be contacted via phone (314) 991-5000.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 2007B Saint Louis MO 63141-8265
Phone: (314) 991-5000
Fax: (314) 991-5035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2012005902 Missouri
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2012005902 Missouri

Profile Details

NPI number 1417112764
LBN Legal business name Conner, Shayna N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated Sep 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417112764 NPPES
Illinois MEDICAID ENROLLED

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