An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
* Indicates primary specialty
| NPI Number | 1841832755 |
| Legal business name LBN |
SHAWNEE MEDICAL CENTER CLINIC, INC |
| Authorized official | CRYSTAL PENA - (PROVIDER ENROLLMENT/INS CREDENTIAL) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 10/11/2019 |
| Last updated | 10/11/2019 - About 7 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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