Meschke, Shane Allen

Meschke, Shane Allen is an individual health care provider with primary practice located at 9549 Penn Ave S , Bloomington MN 55431-2563. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Meschke, Shane Allen can be contacted via phone (952) 888-9549.

Contact Information

Primary practice address
9549 Penn Ave S Bloomington MN 55431-2563
Phone: (952) 888-9549
Fax: (952) 703-3481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7000 Minnesota

Profile Details

NPI number 1316943152
LBN Legal business name Meschke, Shane Allen
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
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 1316943152 NPPES
Minnesota Other 394M2ME BLUE CROSS BLUE SHIELD
Minnesota Other 2033422 BLUE CROSS BLUE SHIELD

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