Nelson, Shawn Peter

Nelson, Shawn Peter is an individual health care provider with primary practice located at 27200 Harper Ave Ste B , Saint Clair Shores MI 48081-1909. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nelson, Shawn Peter can be contacted via phone (586) 940-0294.

Contact Information

Primary practice address
27200 Harper Ave Ste B Saint Clair Shores MI 48081-1909
Fax: (949) 404-8415
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X SN008562 Michigan

Profile Details

NPI number 1700854312
LBN Legal business name Nelson, Shawn Peter
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 20th, 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 1700854312 NPPES
Other OE07214 BCBS OF MICHIGAN
MEDICAID 4431562 BCBS OF MICHIGAN
Other 1700854312 BCBS OF MICHIGAN
Other SN008562 BCBS OF MICHIGAN

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