Deboer, Shannon Lee

Deboer, Shannon Lee is an individual health care provider with primary practice located at 1501 Highway 18 Byp Ste B , Hot Springs SD 57747-9602. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Deboer, Shannon Lee can be contacted via phone (605) 745-5119.

Contact Information

Primary practice address
1501 Highway 18 Byp Ste B Hot Springs SD 57747-9602
Phone: (605) 745-5119
Fax: (605) 745-3016
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 930 South Dakota

Profile Details

NPI number 1215007760
LBN Legal business name Deboer, Shannon Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215007760 NPPES
South Dakota MEDICAID 7604643

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