Shanker, Stuart G

Shanker, Stuart G is an individual health care provider with primary practice located at 824 W Frontier Ln , Olathe KS 66061-7216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Shanker, Stuart G can be contacted via phone (913) 764-7060.

Contact Information

Primary practice address
824 W Frontier Ln Olathe KS 66061-7216
Fax: (913) 764-8059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0417665 Kansas

Profile Details

NPI number 1578538021
LBN Legal business name Shanker, Stuart G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Apr 30th, 2008 - about 17 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 1578538021 NPPES
Missouri Other 08699011 BLUE SHIELD
Missouri MEDICAID 100151510B BLUE SHIELD

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