Individual
DR. SHAWN PETER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27200 HARPER AVE STE B, SAINT CLAIR SHORES, MI 48081-1909
(586) 940-0294
(949) 404-8415
Mailing address
660 COOK RD, GROSSE POINTE WOODS, MI 48236-2710
(586) 940-0294
(949) 404-8415
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SN008562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700854312
BLUE CARE NETWORK
MI
05
—
4431562
—
MI
01
—
OE07214
BCBS OF MICHIGAN
—
01
—
SN008562
LICENSE
MI
Enumeration date
03/09/2006
Last updated
02/20/2020
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