Shane A. Boroditsky, P.A.

LBN: Shane A. Boroditsky, P.A.
Shane A. Boroditsky, P.A. is an health care organization with primary practice located at 12000 Elm Creek Blvd N , Maple Grove MN 55369-7073. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Shane A. Boroditsky, P.A. can be contacted via phone (612) 281-3575, or through Boroditsky, Shane Alex via phone (612) 281-3575.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Maple Grove MN 55369-7073
Phone: (612) 281-3575
Fax: (612) 605-8257
Website:
Map and Directions
Authorized official contact:
Name: Boroditsky, Shane Alex Doctor of Chiropractic (DC)
Phone: (612) 281-3575

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1043313828
LBN Legal business name Shane A. Boroditsky, P.A.
DBA Doing business as
Authorized official Boroditsky, Shane Alex Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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