Shadrach, Jeffrey Thomas

Shadrach, Jeffrey Thomas is an individual health care provider with primary practice located at 13655 Riverport Dr , Maryland Heights MO 63043-4812. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Shadrach, Jeffrey Thomas can be contacted via phone (314) 592-7000.

Contact Information

Primary practice address
13655 Riverport Dr Maryland Heights MO 63043-4812
Phone: (314) 592-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2021044288 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2021044288 Missouri

Profile Details

NPI number 1235861766
LBN Legal business name Shadrach, Jeffrey Thomas
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2022
Last updated Jun 24th, 2022 - about 3 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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