White, Shannon T

White, Shannon T is an sole proprietor health care provider with primary practice located at 353 Fairmont Blvd , Rapid City SD 57701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. White, Shannon T can be contacted via phone (605) 755-1000.

Contact Information

Primary practice address
353 Fairmont Blvd Rapid City SD 57701
Phone: (605) 755-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CR000730 South Dakota

Profile Details

NPI number 1396791869
LBN Legal business name White, Shannon T
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Aug 30th, 2018 - about 6 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 1396791869 NPPES
Ohio MEDICAID 2184701

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