National Provider Identifier Database

SHANE B BERQUIST, L. AC., M.SC.O.M. – NPI #1134468093
Acupuncturist

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.


Contact Information

SHANE B BERQUIST, L. AC., M.SC.O.M.
1829 RIVERSIDE AVE STE 200
MINNEAPOLIS, MN55454-1037
Phone: 651-353-8031
Fax:
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for SHANE B BERQUIST

NPI Number 1134468093
Credentials L. AC., M.SC.O.M.
Entity Individual
Enumeration date 02/12/2013
Last updated 12/03/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 1659
  • MN Medicaid: 1134468093
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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