Shea, Mark

Shea, Mark is an individual health care provider with primary practice located at 17242 Horizon Trl Se , Prior Lake MN 55372-3939. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Shea, Mark can be contacted via phone (612) 380-8301.

Contact Information

Primary practice address
17242 Horizon Trl Se Prior Lake MN 55372-3939
Phone: (612) 380-8301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X T010234994001 Minnesota

Profile Details

NPI number 1932665403
LBN Legal business name Shea, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 2019 - about 5 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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