Lencki, Shaun G
Lencki, Shaun G is an sole proprietor health care provider with primary practice located at 1000 E Primrose St Ste 360 , Springfield MO 65807-5293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Lencki, Shaun G can be contacted via phone (417) 269-4037.Contact Information
Primary practice address
1000 E Primrose St Ste 360
Springfield MO 65807-5293
Phone: (417) 269-4037
Fax: (417) 269-6139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ME86568 | Florida |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2020007993 | Missouri |
Profile Details
| NPI number | 1639167562 |
|---|---|
| LBN Legal business name | Lencki, Shaun G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Mar 25th, 2020 - about 6 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 | 1639167562 | NPPES |
| Florida | Other | 202013798 | TAX ID |
| Florida | Other | N290176 | TAX ID |
| Florida | MEDICAID | 265903400 | TAX ID |
| Florida | Other | 62954 | TAX ID |
| Florida | Other | 5361051 | TAX ID |
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