Danner, Shavonne L

Danner, Shavonne L is an sole proprietor health care provider with primary practice located at 2525 Glenn Hendren Dr , Liberty MO 64068-9625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Danner, Shavonne L can be contacted via phone (816) 407-2028.

Contact Information

Primary practice address
2525 Glenn Hendren Dr Liberty MO 64068-9625
Fax: (816) 407-4880
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X R3N16 Missouri

Profile Details

NPI number 1972728582
LBN Legal business name Danner, Shavonne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Feb 19th, 2010 - about 14 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 1972728582 NPPES
Other 20-3816786 TAX ID
Other P00317963 TAX ID
Other 270921 TAX ID
Other 16266183 TAX ID
Other 1134201 TAX ID

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