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

Primary practice address
7432 Park Ave Richfield MN 55423-4462
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518307099 NPPES
Minnesota Other 101975 MN LICENSE
Minnesota Other 005572 MN LICENSE

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