Janse Van Rensburg, Shaun Paul

Janse Van Rensburg, Shaun Paul is an individual health care provider with primary practice located at 2300 Park Ave Ste 206 , Orange Park FL 32073-5573. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Janse Van Rensburg, Shaun Paul can be contacted via phone (904) 634-0640.

Contact Information

Primary practice address
2300 Park Ave Ste 206 Orange Park FL 32073-5573
Fax: (904) 634-0203
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH11443 Florida

Profile Details

NPI number 1023493079
LBN Legal business name Janse Van Rensburg, Shaun Paul
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2015
Last updated Nov 12th, 2025 - about last year

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 1023493079 NPPES
Florida MEDICAID 108060500

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