Kirsch, Shannon R
Kirsch, Shannon R is an individual health care provider with primary practice located at 2001 7Th St , Rapid City SD 57701-4661. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kirsch, Shannon R can be contacted via phone (605) 716-6474.Contact Information
Primary practice address
2001 7Th St
Rapid City SD 57701-4661
Phone: (605) 716-6474
Fax: (605) 716-6484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0512 | South Dakota |
Profile Details
| NPI number | 1164414454 |
|---|---|
| LBN Legal business name | Kirsch, Shannon R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164414454 | NPPES |
| South Dakota | MEDICAID | 5831562 |
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