Brent Scheideman
Chiropractic Sports Physician
14030 Bank St Suite 1
Becker
, Minnesota 55308-9351
Brent Scheideman
Chiropractic Sports Physician
14030 Bank St Suite 1
Becker
, Minnesota 55308-9351
(763) 262-2640
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Brent Scheideman
- Po Box 265
- Becker, MN
- Zip : 55308-0265
- Fax : (763) 262-2640
- Phone : (763) 262-2639
Second Address
- Brent Scheideman
- 14030 Bank St Suite 1
- Becker, MN
- Zip : 55308-9351
- Fax : (763) 262-2640
- Phone : (763) 262-2639
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 4037 | MN |
National Provider Identifier
| NPI | 1013965664 |
|---|---|
| Provider Name | Brent Scheideman |
| First Address | Becker, MN 55308-0265 |
| Second Address | Becker, MN 55308-9351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 05/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 449M3SC | BCBS (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.