Shea, Todd Arnold
Shea, Todd Arnold is an individual health care provider with primary practice located at 825 Nicollet Mall Ste 300 , Minneapolis MN 55402-2610. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shea, Todd Arnold can be contacted via phone (612) 333-8883.Contact Information
Primary practice address
825 Nicollet Mall Ste 300
Minneapolis MN 55402-2610
Phone: (612) 333-8883
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 562 | Minnesota |
Profile Details
NPI number | 1013977644 |
---|---|
LBN Legal business name | Shea, Todd Arnold |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Feb 23rd, 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 | 1013977644 | NPPES |
Minnesota | MEDICAID | 965725800 |
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