Ankrom, Shirley Dawn
Ankrom, Shirley Dawn is an sole proprietor health care provider with primary practice located at 1407 S Elliott Ave , Aurora MO 65605-2103. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ankrom, Shirley Dawn can be contacted via phone (417) 839-1779.Contact Information
Primary practice address
1407 S Elliott Ave
Aurora MO 65605-2103
Phone: (417) 839-1779
Fax: (888) 839-9210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2005003223 | Missouri |
Profile Details
| NPI number | 1235207689 |
|---|---|
| LBN Legal business name | Ankrom, Shirley Dawn |
| Credentials | M.S., LP.C, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | Nov 9th, 2017 - about 9 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 | 1235207689 | NPPES |
| Missouri | Other | 49284 | NBCC |
| Missouri | Other | 2005003223 | NBCC |
| Missouri | Other | SDA3992127 | NBCC |
| Missouri | MEDICAID | 497483404 | NBCC |
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