Shea, Mark
Shea, Mark is an individual health care provider with primary practice located at 17242 Horizon Trl Se , Prior Lake MN 55372-3939. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Shea, Mark can be contacted via phone (612) 380-8301.Contact Information
Primary practice address
17242 Horizon Trl Se
Prior Lake MN 55372-3939
Phone: (612) 380-8301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | T010234994001 | Minnesota |
Profile Details
| NPI number | 1932665403 |
|---|---|
| LBN Legal business name | Shea, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2019 |
| Last updated | Feb 20th, 2019 - about 7 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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