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Contact Information

SHANE D MONROE
3355 EAGLE PARK DR NE STE 108
GRAND RAPIDS, MI49525-7004
 Phone: 707-342-7333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SHANE D MONROE · (Male)

NPI Number 1710521877
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2019
Last updated 11/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5401000225
Hospital affiliation(s) Not Available
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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