Patch, Shawna
Patch, Shawna is an individual health care provider with primary practice located at 824 W Frontier Ln , Olathe KS 66061-7216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Patch, Shawna can be contacted via phone (913) 764-7060.Contact Information
Primary practice address
824 W Frontier Ln
Olathe KS 66061-7216
Phone: (913) 764-7060
Fax: (913) 764-8059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0441343 | Kansas |
Profile Details
| NPI number | 1629463096 |
|---|---|
| LBN Legal business name | Patch, Shawna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2015 |
| Last updated | Nov 19th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629463096 | NPPES |
| Kansas | MEDICAID | 201216510A |
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