Elizabeth Shaker
Sports Medicine
290 Main St Nw
Elk River
, Minnesota 55330-1270
Elizabeth Shaker
Sports Medicine
290 Main St Nw
Elk River
, Minnesota 55330-1270
(414) 477-0712
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Elizabeth Shaker
- 10779 Brookside Trl
- Champlin, MN
- Zip : 55316-2663
- Phone : (414) 477-0712
Second Address
- Elizabeth Shaker
- 290 Main St Nw
- Elk River, MN
- Zip : 55330-1270
- Phone : (763) 241-0373
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 61199 | MN |
| Y | 213ES0000X | Sports Medicine | 61199 | MN |
National Provider Identifier
| NPI | 1356633465 |
|---|---|
| Provider Name | Elizabeth Shaker |
| First Address | Champlin, MN 55316-2663 |
| Second Address | Elk River, MN 55330-1270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2011 |
| Last Update Date | 21/02/2017 |
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.