Ericson, Shannon B.

Ericson, Shannon B. is an individual health care provider with primary practice located at 5425 W 100Th Ter , Overland Park KS 66207-3119. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ericson, Shannon B. can be contacted via phone (913) 825-6636.

Contact Information

Primary practice address
5425 W 100Th Ter Overland Park KS 66207-3119
Phone: (913) 825-6636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-01600 Kansas

Profile Details

NPI number 1710941455
LBN Legal business name Ericson, Shannon B.
Credentials MS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 19th, 2007 - about 18 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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