Shore, Leann Marie
Shore, Leann Marie is an sole proprietor health care provider with primary practice located at 7432 Park Ave , Richfield MN 55423-4462. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shore, Leann Marie can be contacted via phone (952) 237-5398.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 101975 | Minnesota |
Profile Details
NPI number | 1518307099 |
---|---|
LBN Legal business name | Shore, Leann Marie |
Credentials | OTD, MA, OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2013 |
Last updated | Jun 28th, 2013 - about 12 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 | 1518307099 | NPPES |
Minnesota | Other | 101975 | MN LICENSE |
Minnesota | Other | 005572 | MN LICENSE |
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