Woods, Shannon Lee

Woods, Shannon Lee is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Woods, Shannon Lee can be contacted via phone (417) 875-3800.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Phone: (417) 875-3800
Fax: (417) 875-3809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2007018123 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2007018123 Missouri

Profile Details

NPI number 1184814576
LBN Legal business name Woods, Shannon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Dec 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184814576 NPPES
Missouri MEDICAID 1184814576
Missouri MEDICAID 204301303

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