Rudolph, Shannon Michiyo

Rudolph, Shannon Michiyo is an individual health care provider with primary practice located at 4400 Nw 23Rd Ave , Gainesville FL 32606-6580. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Rudolph, Shannon Michiyo can be contacted via phone (352) 371-4120.

Contact Information

Primary practice address
4400 Nw 23Rd Ave Gainesville FL 32606-6580
Phone: (352) 371-4120
Fax: (352) 371-3378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH9069 Florida

Profile Details

NPI number 1548313711
LBN Legal business name Rudolph, Shannon Michiyo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Feb 24th, 2017 - about 7 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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