Mcintosh, Shannon S

Mcintosh, Shannon S is an individual health care provider with primary practice located at 205 W R D Mize Rd Suite 304, Blue Springs MO 64014-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mcintosh, Shannon S can be contacted via phone (816) 655-0125.

Contact Information

Primary practice address
205 W R D Mize Rd Suite 304 Blue Springs MO 64014-2518
Phone: (816) 655-0125
Fax: (816) 228-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 153357 Missouri

Profile Details

NPI number 1326046806
LBN Legal business name Mcintosh, Shannon S
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326046806 NPPES
Other 000645 FAMILY HEALTH PARTNERS
Other 045847 FAMILY HEALTH PARTNERS

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