Nightshade, Carrie Shannon

Nightshade, Carrie Shannon is an individual health care provider with primary practice located at 3706 E 42Nd Street , Minneapolis MN 55406. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Nightshade, Carrie Shannon can be contacted via phone (612) 708-8917.

Contact Information

Primary practice address
3706 E 42Nd Street Minneapolis MN 55406
Phone: (612) 708-8917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 1565 Minnesota

Profile Details

NPI number 1184263253
LBN Legal business name Nightshade, Carrie Shannon
Credentials L.AC., M.AC., DIPLAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2020
Last updated Jan 6th, 2020 - about 6 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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