Berquist, Shane B
Berquist, Shane B is an sole proprietor health care provider with primary practice located at 1829 Riverside Ave Ste 200 , Minneapolis MN 55454-1037. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Berquist, Shane B can be contacted via phone (651) 353-8031.Contact Information
Primary practice address
1829 Riverside Ave Ste 200
Minneapolis MN 55454-1037
Phone: (651) 353-8031
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | 1659 | Minnesota |
Profile Details
| NPI number | 1134468093 |
|---|---|
| LBN Legal business name | Berquist, Shane B |
| Credentials | L. AC., M.SC.O.M. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2013 |
| Last updated | Dec 3rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134468093 | NPPES |
| Minnesota | MEDICAID | 1134468093 |
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