Meschke, Shane Allen
Meschke, Shane Allen is an individual health care provider with primary practice located at 9549 Penn Ave S , Bloomington MN 55431-2563. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Meschke, Shane Allen can be contacted via phone (952) 888-9549.Contact Information
Primary practice address
9549 Penn Ave S
Bloomington MN 55431-2563
Phone: (952) 888-9549
Fax: (952) 703-3481
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7000 | Minnesota |
Profile Details
NPI number | 1316943152 |
---|---|
LBN Legal business name | Meschke, Shane Allen |
Credentials | LPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1316943152 | NPPES |
Minnesota | Other | 394M2ME | BLUE CROSS BLUE SHIELD |
Minnesota | Other | 2033422 | BLUE CROSS BLUE SHIELD |
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