Shinder, Michael Bradley

Shinder, Michael Bradley is an individual health care provider with primary practice located at 4455 N Hwy 169 Suite 200, Plymouth MN 55442. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shinder, Michael Bradley can be contacted via phone (763) 557-9032.

Contact Information

Primary practice address
4455 N Hwy 169 Suite 200 Plymouth MN 55442
Phone: (763) 557-9032
Fax: (763) 557-9838
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2411 Minnesota

Profile Details

NPI number 1336149095
LBN Legal business name Shinder, Michael Bradley
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Apr 29th, 2010 - about 16 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 1336149095 NPPES
Minnesota MEDICAID 191028100
Minnesota Other 60629SH

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