Healthcare Provider Details

I. General information

NPI: 1932036043
Provider Name (Legal Business Name): SHEENENG YANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 E 82ND ST STE 180
BLOOMINGTON MN
55425-4503
US

IV. Provider business mailing address

2626 E 82ND ST STE 180
BLOOMINGTON MN
55425-4503
US

V. Phone/Fax

Practice location:
  • Phone: 952-814-7400
  • Fax: 952-853-0966
Mailing address:
  • Phone: 952-814-7400
  • Fax: 952-853-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number28783
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: