Organization
LEANN M SHEA
Active
Other names
KEY CITY CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANN M SHEA D.C. (CHIROPRACTOR)
(507) 625-4822
Entity
Organization
Contact information
Practice address
217 1/2 E WALNUT ST, MANKATO, MN 56001-3606
(507) 625-4822
Mailing address
217 1/2 E WALNUT ST, MANKATO, MN 56001-3606
(507) 625-4822
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
MN
01
—
39673SH
BCBSM CLINIC #
MN
01
—
3M150SH
BCBSM INDIVIDUAL #
MN
Enumeration date
03/26/2007
Last updated
11/11/2008
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