Organization
SUNSHINE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAPING SUN MD (OWNER)
(314) 736-1116
Entity
Organization
Contact information
Practice address
638 OFFICE PARKWAY, CREVE COEUR, MO 63141
(314) 736-1116
(314) 736-1198
Mailing address
15455 MANCHESTER ROAD, UNIT 213, BALLWIN, MO 63022-0213
(314) 736-1116
(314) 736-1198
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043675309
BUSINESS NPI
MO
01
—
1588704423
PERSONAL NPI
MO
Enumeration date
12/30/2015
Last updated
06/14/2016
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