Carson, Carissa Shantell

Carson, Carissa Shantell is an sole proprietor health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141-8221. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Other Service Providers / Midwife, Lay, Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Ambulatory Health Care Facilities / Birthing. Ambulatory Health Care Facilities / Birthing is her primary health care specialty. Carson, Carissa Shantell can be contacted via phone (314) 251-6000.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141-8221
Phone: (314) 251-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Other Service Providers / Midwife, Lay 175M00000X
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X
Ambulatory Health Care Facilities / Birthing 261QB0400X

Profile Details

NPI number 1578075313
LBN Legal business name Carson, Carissa Shantell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2017
Last updated Mar 17th, 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.

Request for update

Popular Providers