Dorff, Shanda Rae
Dorff, Shanda Rae is an sole proprietor health care provider with primary practice located at 4700 Lexington Ave N Ste C , Shoreview MN 55126-5964. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dorff, Shanda Rae can be contacted via phone (651) 756-9595.Contact Information
Primary practice address
4700 Lexington Ave N Ste C
Shoreview MN 55126-5964
Phone: (651) 756-9595
Fax: (651) 340-8529
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 52481 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 70139-20 | Wisconsin |
Profile Details
NPI number | 1760657498 |
---|---|
LBN Legal business name | Dorff, Shanda Rae |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2008 |
Last updated | Dec 22nd, 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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