Shearen, John G
Shearen, John G is an individual health care provider with primary practice located at 1997 Sloan Pl Suite 17, Maplewood MN 55117-2094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shearen, John G can be contacted via phone (715) 531-6800.Contact Information
Primary practice address
1997 Sloan Pl Suite 17
Maplewood MN 55117-2094
Phone: (715) 531-6800
Fax: (715) 531-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25906 | Minnesota |
Profile Details
| NPI number | 1134163090 |
|---|---|
| LBN Legal business name | Shearen, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 31st, 2023 - about 2 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 | 1134163090 | NPPES |
| Minnesota | MEDICAID | 768302200 | |
| Minnesota | MEDICAID | 32189500 |
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