Search › Missouri › 207P00000X
Shane Philliber, CNP
NPI 1891455507 · on the registry since 2021 · sole proprietor
Practice
- Address
- 530 S Maiden Ln
Joplin, MO 64801 - Phone
- (417) 782-6200
- Fax
- (417) 782-3084
- Organisation at this address
- Ozark Tri-County Health Care Consortium
Ozark Tri-County Health Care Consortium
Ozark Tri County Health Care Consortium
Ozark Tri-County Health Care Consortium
Ozark Tri-County Health Care ConsortiumInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 1636 S Madison St, Webb City, MO
- 1130 E 32nd St, Joplin, MO
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri