Ejiofor, Shannon

Ejiofor, Shannon is an individual health care provider with primary practice located at 1201 S Grand Blvd , Saint Louis MO 63104-1016. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Ejiofor, Shannon can be contacted via phone (314) 257-8000.

Contact Information

Primary practice address
1201 S Grand Blvd Saint Louis MO 63104-1016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2020018976 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2023020723 Missouri

Profile Details

NPI number 1285251983
LBN Legal business name Ejiofor, Shannon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Jul 6th, 2023 - 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.

Request for update

Popular Providers