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
Phone: (816) 407-2028
Fax: (816) 407-4880
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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