Krumm, Shannon Joseph

Krumm, Shannon Joseph is an individual health care provider with primary practice located at 404 Jefferson St , Pella IA 50219-1291. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Krumm, Shannon Joseph can be contacted via phone (641) 628-6634.

Contact Information

Primary practice address
404 Jefferson St Pella IA 50219-1291
Phone: (641) 628-6634
Fax: (816) 461-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 103187 Iowa

Profile Details

NPI number 1801855713
LBN Legal business name Krumm, Shannon Joseph
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Nov 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801855713 NPPES
Iowa MEDICAID 0206516

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