Jantz, Shannon Elizabeth

Jantz, Shannon Elizabeth is an individual health care provider with primary practice located at 1375 E 20Th Ave , Denver CO 80205-5422. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Jantz, Shannon Elizabeth can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
1375 E 20Th Ave Denver CO 80205-5422
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0052676 Colorado

Profile Details

NPI number 1962760157
LBN Legal business name Jantz, Shannon Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Jun 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962760157 NPPES
Colorado Other 025850 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 40872386 KAISER COMMERCIAL NUMBER

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