Shaun Owen Thunell in Alton - Chiropractor

Shaun Owen Thunell - NPI 1124110788

Shaun Owen Thunell is a Chiropractor in Alton, Illinois. Shaun Owen Thunell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shaun Owen Thunell is 1124110788. The last update date is 2008-05-20.

Shaun Owen Thunell's current location address is 3464 E Broadway, Alton, Illinois. You can contact this provider via phone number 6184658200 and fax number 6184658184. The mailing address for Shaun Owen Thunell is 3464 E Broadway, Alton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaun Owen Thunell
Address 3464 E Broadway, Alton, Illinois
Phone Number 6184658200
Fax Number 6184658184
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1124110788
Provider Enumeration Date 2006-09-29
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 3464 E Broadway
City Alton
State Illinois (IL)
Post Code 620022043
Phone Number 6184658200
Fax Number 6184658184

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-009267
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38009267 IL --
6032102 IL BCBS

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FAQs about Shaun Owen Thunell

What is the unique provider identifier assigned to Shaun Owen Thunell?

The Shaun Owen Thunell has been issued the NPI (National Provider Identifier) 1124110788 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Shaun Owen Thunell's physical address?

The Shaun Owen Thunell is physically located at 3464 E Broadway, in the city of Alton, IL, with the postal code 620022043.

What is the Shaun Owen Thunell's area of specialization and corresponding taxonomy classification?

The Shaun Owen Thunell's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1124110788 assigned to Shaun Owen Thunell?

The Shaun Owen Thunell was issued its 1124110788 on 2006-09-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Shaun Owen Thunell most recently updated or revised?

The details related to Shaun Owen Thunell, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-20.

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