Provider Demographics
NPI:1679856942
Name:SAKRISON-OSTBY, SHAINA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:SHAINA
Middle Name:MARIE
Last Name:SAKRISON-OSTBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 S FRONTAGE ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033
Mailing Address - Country:US
Mailing Address - Phone:651-437-6778
Mailing Address - Fax:651-437-6778
Practice Address - Street 1:1355 S FRONTAGE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:HASTINGS
Practice Address - State:MN
Practice Address - Zip Code:55033-2482
Practice Address - Country:US
Practice Address - Phone:651-437-6778
Practice Address - Fax:651-437-6778
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN5553111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor