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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON M. HAUSCHILDT, PA-C

Active

MRS. SHANNON M. HAUSCHILDT, PA-C is a Surgical Physician Assistant healthcare provider located in BOLIVAR, Missouri. NPI 1225012578 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BOLIVAR, MO

Registration Details

NPI Number
1225012578
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2005 (20.71080523859 yrs)
Last Updated
Mar 18, 2014
License
2004003730 (MO)

Practice Information

Address
1155 W. PARKVIEW ST.
SUITE 2 D
BOLIVAR, MO, 656137800
Browse MO providers · Browse ZIP 65613
Phone
4177772663
Fax
4177772666
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in BOLIVAR, MO

Name Credential NPI
CHAD LEE CARREL PA 1194820381
JOSHUA L MACKEN PA-C 1558531814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.