Stanley, Shane Leland
Stanley, Shane Leland is an sole proprietor health care provider with primary practice located at 39915 Grand River Ave Suite 750, Novi MI 48375-2153. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stanley, Shane Leland can be contacted via phone (248) 476-7775.Contact Information
Primary practice address
39915 Grand River Ave Suite 750
Novi MI 48375-2153
Phone: (248) 476-7775
Fax: (248) 476-7255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | SS008515 | Michigan |
Profile Details
| NPI number | 1295778181 |
|---|---|
| LBN Legal business name | Stanley, Shane Leland |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1295778181 | NPPES |
| Michigan | Other | 0F35564 | BCBSM |
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