Townsend, Shane S
Townsend, Shane S is an individual health care provider with primary practice located at 3104 S Lakeport Street , Sioux City IA 51106-4222. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Townsend, Shane S can be contacted via phone (712) 266-0500.Contact Information
Primary practice address
3104 S Lakeport Street
Sioux City IA 51106-4222
Phone: (712) 266-0500
Fax: (712) 266-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06338 | Iowa |
Profile Details
| NPI number | 1578560306 |
|---|---|
| LBN Legal business name | Townsend, Shane S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 3rd, 2010 - about 15 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 | 1578560306 | NPPES |
| Iowa | MEDICAID | 0239459 |
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