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
Phone: (586) 940-0294
Fax: (949) 404-8415
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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