Individual
SHANNON ALAN ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 MOSAIC CT STE 300, SAINT JOSEPH, MO 64506-0015
(816) 271-1067
(816) 271-1071
Mailing address
101 MOSAIC CT STE 300, SAINT JOSEPH, MO 64506-0015
(816) 271-1067
(816) 271-1071
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00777
IA
213ES0131X
Foot Surgery Podiatrist
Primary
2010024608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649220302
—
MO
05
—
200671880A
—
KS
05
—
30004069120004
—
KS
05
—
304286206
—
MO
01
—
37479
WELLMARK
IA
Enumeration date
05/11/2006
Last updated
04/08/2026
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