Engel, Shannon Alan

Engel, Shannon Alan is an individual health care provider with primary practice located at 5202 Faraon St., Ste. A, St. Joseph MO 64506-3480. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Engel, Shannon Alan can be contacted via phone (816) 271-1067.

Contact Information

Primary practice address
5202 Faraon St., Ste. A St. Joseph MO 64506-3480
Phone: (816) 271-1067
Fax: (816) 271-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00777 Iowa

Profile Details

NPI number 1649220302
LBN Legal business name Engel, Shannon Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Nov 22nd, 2017 - about 7 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 1649220302 NPPES
Kansas MEDICAID 200671880A
Kansas Other 37479
Kansas MEDICAID 1649220302

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