Shappell, Jessica
Shappell, Jessica is an sole proprietor health care provider with primary practice located at 7435 Oakley St Ne , Fridley MN 55432-3431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Shappell, Jessica can be contacted via phone (651) 508-8695.Contact Information
Primary practice address
7435 Oakley St Ne
Fridley MN 55432-3431
Phone: (651) 508-8695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | 99002353 | Minnesota |
Profile Details
| NPI number | 1417537556 |
|---|---|
| LBN Legal business name | Shappell, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2021 |
| Last updated | Apr 13th, 2021 - about 3 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 | 1417537556 | NPPES |
| Minnesota | MEDICAID | LMN726133520 |
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