Calvert, Shannon Leigh
Calvert, Shannon Leigh is an individual health care provider with primary practice located at 1195 N Oakland Ave Suite 2, Bolivar MO 65613-8095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Calvert, Shannon Leigh can be contacted via phone (417) 777-2121.Contact Information
Primary practice address
1195 N Oakland Ave Suite 2
Bolivar MO 65613-8095
Phone: (417) 777-2121
Fax: (417) 777-2854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2004015320 | Missouri |
Profile Details
| NPI number | 1902919814 |
|---|---|
| LBN Legal business name | Calvert, Shannon Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 23rd, 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 | 1902919814 | NPPES |
| Missouri | Other | 000000000 | NO NUMBER AVAILABLE |
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