Backstrom, Shannon Lynn

Backstrom, Shannon Lynn is an individual health care provider with primary practice located at 1417 S. Cliff Ave. Ste. 100, Sioux Falls SD 57105-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perinatal, which is considered as her primary health care specialty. Backstrom, Shannon Lynn can be contacted via phone (605) 322-8937.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 100 Sioux Falls SD 57105-1063
Phone: (605) 322-8937
Fax: (605) 322-8938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X CP000442 South Dakota

Profile Details

NPI number 1093787616
LBN Legal business name Backstrom, Shannon Lynn
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 10th, 2018 - about 8 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 1093787616 NPPES
South Dakota Other 2387949 ARAZ/ AMERICA'S PPO
South Dakota MEDICAID 400070600 ARAZ/ AMERICA'S PPO
South Dakota Other 83G56BE ARAZ/ AMERICA'S PPO
South Dakota Other 283761045259 ARAZ/ AMERICA'S PPO
South Dakota Other 9244760 ARAZ/ AMERICA'S PPO
South Dakota Other HP55697 ARAZ/ AMERICA'S PPO
South Dakota Other 0407827 ARAZ/ AMERICA'S PPO
South Dakota MEDICAID 0503706 ARAZ/ AMERICA'S PPO
South Dakota Other 57105AD05 ARAZ/ AMERICA'S PPO
South Dakota MEDICAID 6828300 ARAZ/ AMERICA'S PPO
South Dakota MEDICAID 10025040700 ARAZ/ AMERICA'S PPO
South Dakota Other 248007 ARAZ/ AMERICA'S PPO
South Dakota Other 370624200 ARAZ/ AMERICA'S PPO
South Dakota MEDICAID 6828302 ARAZ/ AMERICA'S PPO
South Dakota Other 83G56BE ARAZ/ AMERICA'S PPO
South Dakota Other 924114229808 ARAZ/ AMERICA'S PPO
South Dakota Other 248007 ARAZ/ AMERICA'S PPO

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