Shannon, Gregory D.
Shannon, Gregory D. is an individual health care provider with primary practice located at 1301 Kansas Hwy 264 , Larned KS 67550-5353. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shannon, Gregory D. can be contacted via phone (620) 285-4216.Contact Information
Primary practice address
1301 Kansas Hwy 264
Larned KS 67550-5353
Phone: (620) 285-4216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | T-LP 1742 | Kansas |
Profile Details
| NPI number | 1700041456 |
|---|---|
| LBN Legal business name | Shannon, Gregory D. |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Jul 22nd, 2008 - about 16 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 | 1700041456 | NPPES |
| Kansas | Other | T-LP 1742 | KANSAS STATE LICENSE |
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