Joerger, Shannon Marie
Joerger, Shannon Marie is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is her primary health care specialty. Joerger, Shannon Marie can be contacted via phone (314) 454-6173.Contact Information
Primary practice address
1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition
Saint Louis MO 63110-1002
Phone: (314) 454-6173
Fax: (844) 231-8912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2011025409 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 2011025409 | Missouri |
Profile Details
| NPI number | 1538338215 |
|---|---|
| LBN Legal business name | Joerger, Shannon Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Apr 25th, 2024 - about 8 months 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 | 1538338215 | NPPES |
| Missouri | MEDICAID | 200006958 |
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