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 |
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Provider Enumeration Date | 2006-09-29 |
Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
Address | 3464 E Broadway |
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City | Alton |
State | Illinois (IL) |
Post Code | 620022043 |
Phone Number | 6184658200 |
Fax Number | 6184658184 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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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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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