Shogren, Paul Leslie
Shogren, Paul Leslie is an sole proprietor health care provider with primary practice located at 2921 S Frontage Rd Ste 3 , Moorhead MN 56560-2571. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shogren, Paul Leslie can be contacted via phone (218) 233-8544.Contact Information
Primary practice address
2921 S Frontage Rd Ste 3
Moorhead MN 56560-2571
Phone: (218) 233-8544
Fax: (218) 233-8545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1896 | Minnesota |
Profile Details
| NPI number | 1972608511 |
|---|---|
| LBN Legal business name | Shogren, Paul Leslie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 1st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972608511 | NPPES |
| Minnesota | MEDICAID | 954827100 | |
| Minnesota | MEDICAID | 14258 |
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