Tyson Shardlow in Lisbon Falls - Chiropractor
Tyson Shardlow - NPI 1568521896
Tyson Shardlow is a Chiropractor in Lisbon Falls, Maine. Tyson Shardlow practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tyson Shardlow is 1568521896. The last update date is 2020-03-11.
Tyson Shardlow's current location address is 694 Lisbon St, Lisbon Falls, Maine. You can contact this provider via phone number 2073536310 and fax number 2073534074. The mailing address for Tyson Shardlow is 694 Lisbon St, Lisbon Falls, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tyson Shardlow |
|---|---|
| Address | 694 Lisbon St, Lisbon Falls, Maine |
| Phone Number | 2073536310 |
| Fax Number | 2073534074 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568521896 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-03-11 |
Provider Mailing Address Detail
| Address | 694 Lisbon St |
|---|---|
| City | Lisbon Falls |
| State | Maine (ME) |
| Post Code | 42521230 |
| Phone Number | 2073536310 |
| Fax Number | 2073534074 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CR1404 |
|
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 |
|---|---|---|---|
| 48519 | ME | BLUECROSS-BLUESHIELD | |
| AA22147 | ME | HARVARD PILGRIM | |
| 421290099 | ME | -- |
Post Comment/ Review Below
What is the Tyson Shardlow's 1568521896?
The Tyson Shardlow's NPI (National Provider Identifier) Number is 1568521896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tyson Shardlow is geographically located?
The Tyson Shardlow is physically situated at the following location: 694 Lisbon St, Lisbon Falls, ME, 42521230.
What is the area of specialization for Tyson Shardlow, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tyson Shardlow is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date was the 1568521896 assigned to Tyson Shardlow?
The Tyson Shardlow was issued its 1568521896 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Tyson Shardlow's information last updated?
The Tyson Shardlow's information was last updated on 2020-03-11.