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Individual
DR. LEANN M SHEA
Active
Individual
DR. LEANN M SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066527400
—
MN
01
—
350049793
RAILROAD MEDICARE ID NUMB
MN
01
—
39673SH
BCBSM PRACTICE ID NUMBER
MN
01
—
3M150SH
BCBSM INDIVIDUAL ID NUMBE
MN
Enumeration date
06/21/2005
Last updated
11/11/2008
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