Padgett, Shawn Patrick

Padgett, Shawn Patrick is an individual health care provider with primary practice located at 801 E Douglas Ave # 2 , Wichita KS 67202-3548. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Padgett, Shawn Patrick can be contacted via phone (316) 315-5856.

Contact Information

Primary practice address
801 E Douglas Ave # 2 Wichita KS 67202-3548
Phone: (316) 315-5856
Fax: (316) 315-5701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LCP-927 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 927 Kansas

Profile Details

NPI number 1275684433
LBN Legal business name Padgett, Shawn Patrick
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jun 11th, 2019 - about 5 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 1275684433 NPPES
Kansas MEDICAID 200429840D

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