Boroditsky, Shane Alex

Boroditsky, Shane Alex is an individual health care provider with primary practice located at 12000 Elm Creek Blvd N Suite L70, Maple Grove MN 55369-7073. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Boroditsky, Shane Alex can be contacted via phone (612) 281-3575.

Contact Information

Primary practice address
12000 Elm Creek Blvd N Suite L70 Maple Grove MN 55369-7073
Phone: (612) 281-3575
Fax: (612) 605-8257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3976 Minnesota

Profile Details

NPI number 1962517870
LBN Legal business name Boroditsky, Shane Alex
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1962517870 NPPES
Minnesota Other 110238 HEALTH PARTNERS
Minnesota Other 329G7BO HEALTH PARTNERS
Minnesota Other 44-50913 HEALTH PARTNERS

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