Baisden, Shannon Nichole

Baisden, Shannon Nichole is an sole proprietor health care provider with primary practice located at 6130 Hodges Dr , Mission KS 66205-3038. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as her primary health care specialty. Baisden, Shannon Nichole can be contacted via phone (913) 645-5675.

Contact Information

Primary practice address
6130 Hodges Dr Mission KS 66205-3038
Phone: (913) 645-5675
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X 1180234454

Profile Details

NPI number 1609542828
LBN Legal business name Baisden, Shannon Nichole
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 5 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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