Dr. Shane Alex Boroditsky is a Maple Grove, Minnesota based male chiropractor with 24 years of experience in General Chiropractor. He completed his graduation from National College Of Chiropractic in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shane Alex Boroditsky as General Chiropractor is 3976 in Minnesota. Dr. Shane Alex Boroditsky is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Shane Alex Boroditsky speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Experience:
24+ years
Medical School Attended:
National College Of Chiropractic
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
12000 Elm Creek Blvd N, Suite L70, Maple Grove, Minnesota, 55369-7073
Phone:
612-281-3575
Fax:
612-605-8257
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3375589104
Enrollment ID:
I20050701000666
NPI Number:
1962517870
NPI Enumeration Date:
20 Aug, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shane Alex Boroditsky are as mentioned below.
License Number
Specialization
State
Status
3976
Chiropractor
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shane Alex Boroditsky such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110238
Other
Minnesota
HEALTH PARTNERS
329G7BO
Other
Minnesota
BLUE CROSS / BLUE SHIELD
44-50913
Other
Minnesota
MEDICA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 582774, Minneapolis, Minnesota
Zip:
55458-2774
Phone Number:
612-281-3575
Fax Number:
612-605-8257
Patients can reach Dr. Shane Alex Boroditsky at 12000 Elm Creek Blvd N, Suite L70, Maple Grove, Minnesota or can call to book an appointment on 612-281-3575. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.