Shambo, Traci Anne
Shambo, Traci Anne is an individual health care provider with primary practice located at Bldg. 400 Virginia Ave , Fort Leonard Wood MO 65473. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Shambo, Traci Anne can be contacted via phone (573) 596-0408.Contact Information
Primary practice address
Bldg. 400 Virginia Ave
Fort Leonard Wood MO 65473
Phone: (573) 596-0408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 2012040673 | Missouri |
Profile Details
| NPI number | 1982198453 |
|---|---|
| LBN Legal business name | Shambo, Traci Anne |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2018 |
| Last updated | Jun 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.
Popular Providers
-
Nelson, April Marie
6958 Nebraska Ave Bldg 1608 , Fort Leonard Wood MO 65473-1618 -
Lefsaker, Gail Karen
12150 New York Ranch Road Jackson Rancheria Health Complex, Jackson CA 95642-9344 -
Bliss, April
5047 Virginia Ave Bldg 500, Fort Leonard Wood MO 65473-9126 -
Straetz, Michele
2306 S Kinnickinnic Ave , Milwaukee WI 53207-1626 -
Smith, Bethany Michelle
6958 Nebraska Ave Bldg 1608 , Fort Leonard Wood MO 65473-1618 -
Carino, Reymar N
6958 Nebraska Ave Bldg 1608 , Fort Leonard Wood MO 65473-1618 -
Fakunle, Taiwo Semilore
Us Army Dental Activity 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood MO 65473-9223 -
Moss, Lisa Diane
5047 Virginia Ave Bldg 500, Fort Leonard Wood MO 65473-9126