Provider Demographics
NPI:1851478275
Name:WHITE, SHEILA KAY (DC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:KAY
Last Name:WHITE
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 1:1980 CLIFF RD E
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-1303
Mailing Address - Country:US
Mailing Address - Phone:952-895-0660
Mailing Address - Fax:952-895-9408
Practice Address - Street 1:1980 CLIFF RD E
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1303
Practice Address - Country:US
Practice Address - Phone:952-895-0660
Practice Address - Fax:952-895-9408
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN217877000Medicaid
MN217877000Medicaid
U66870Medicare UPIN