Loeck, Shannon L

Loeck, Shannon L is an sole proprietor health care provider with primary practice located at 1001 N Minneapolis St , Wichita KS 67214-3127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Loeck, Shannon L can be contacted via phone (316) 293-2647.

Contact Information

Primary practice address
1001 N Minneapolis St Wichita KS 67214-3127
Fax: (855) 476-0305
Website:

Health care specialties

Profile Details

NPI number 1356478762
LBN Legal business name Loeck, Shannon L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Jun 19th, 2023 - about last year

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 1356478762 NPPES
Kansas MEDICAID 30004650390002

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