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
Phone: (316) 293-2647
Fax: (855) 476-0305
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 94-08890 | Kansas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000164 | Connecticut |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04-43063 | Kansas |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356478762 | NPPES |
Kansas | MEDICAID | 30004650390002 |
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