Paseka, Shannon Rae

Paseka, Shannon Rae is an sole proprietor health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric. Dietary & Nutritional Service Providers / Nutrition, Pediatric is her primary health care specialty. Paseka, Shannon Rae can be contacted via phone (816) 234-1598.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-1598
Fax: (816) 855-1986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2001022037 Missouri
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 1047 Kansas
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 2001022037 Missouri

Profile Details

NPI number 1255595997
LBN Legal business name Paseka, Shannon Rae
Credentials MS, RD, CSP, LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2008
Last updated Apr 2nd, 2024 - about 7 months 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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