Shannon R. Wyman in Fairbanks - Chiropractor
Shannon R. Wyman - NPI 1629125356
Shannon R. Wyman is a Chiropractor in Fairbanks, Alaska. Shannon R. Wyman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shannon R. Wyman is 1629125356. The last update date is 2019-01-16.
Shannon R. Wyman's current location address is 515 7th Ave Ste 230, Fairbanks, Alaska. You can contact this provider via phone number 9074564234 and fax number 9074519168. The mailing address for Shannon R. Wyman is 515 7th Ave Ste 230, Fairbanks, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon R. Wyman |
|---|---|
| Address | 515 7th Ave Ste 230, Fairbanks, Alaska |
| Phone Number | 9074564234 |
| Fax Number | 9074519168 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1629125356 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2019-01-16 |
Provider Mailing Address Detail
| Address | 515 7th Ave Ste 230 |
|---|---|
| City | Fairbanks |
| State | Alaska (AK) |
| Post Code | 997014949 |
| Phone Number | 9074564234 |
| Fax Number | 9074519168 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 408 |
|
Definition: A provider qualified by 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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CH0408 | AK | -- | |
| 1004390 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shannon R. Wyman by the Centers for Medicare & Medicaid Services?
The Shannon R. Wyman has been issued the NPI (National Provider Identifier) 1629125356 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shannon R. Wyman?
The Shannon R. Wyman is situated at 515 7Th Ave Ste 230, in the city of Fairbanks, state of AK, with the zip code 997014949.
What is Shannon R. Wyman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shannon R. Wyman is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629125356 to Shannon R. Wyman?
The Centers for Medicare & Medicaid Services originally issued the 1629125356 to Shannon R. Wyman on 2007-01-04.
When was the information pertaining to Shannon R. Wyman most recently updated or revised?
The details related to Shannon R. Wyman, including its address, specialty, and other relevant information, were last updated or revised on 2019-01-16.
NPI Number: 1720081763
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