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Contact Information

JORDAN SHANGREAUX, MS, LAT, ATC
2200 S ROOSEVELT ST
ABERDEEN, SD57401
 Phone: 605-280-4697
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JORDAN SHANGREAUX · (Male)

NPI # 1104366475
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 03/06/2017
Last updated 12/20/2019 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 0472
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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