| Shin, Inc. | |
|
7366 Clearwater Rd Baxter MN 56425-8463 | |
| (218) 828-1277 | |
| Not Available |
| Full Name | Shin, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7366 Clearwater Rd, Baxter, Minnesota |
| Authorized Official Name and Position | Younsook Shin (PRESIDENT) |
| Authorized Official Contact | 2188281277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shin, Inc. 7366 Clearwater Rd Baxter MN 56425-8463 Ph: () - | Shin, Inc. 7366 Clearwater Rd Baxter MN 56425-8463 Ph: (218) 828-1277 |
| NPI Number | 1477175339 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 05/14/2020 |
| Medicare PECOS PAC ID | 5890117048 |
|---|---|
| Medicare Enrollment ID | O20200617002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477175339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Younsook Shin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902972755 PECOS PAC ID: 3072935238 Enrollment ID: I20200617002589 |
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