Shea, Leann M
Shea, Leann M is an sole proprietor health care provider with primary practice located at 217 1/2 E Walnut St , Mankato MN 56001-3606. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Shea, Leann M can be contacted via phone (507) 625-4822.Contact Information
Primary practice address
217 1/2 E Walnut St
Mankato MN 56001-3606
Phone: (507) 625-4822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2072 | Minnesota |
Profile Details
| NPI number | 1043216492 |
|---|---|
| LBN Legal business name | Shea, Leann M |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Nov 11th, 2008 - about 16 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 | 1043216492 | NPPES |
| Minnesota | MEDICAID | 066527400 | |
| Minnesota | Other | 350049793 | |
| Minnesota | Other | 3M150SH | |
| Minnesota | Other | 39673SH |
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