Shannon Renae Walters in East Berlin - Chiropractor
Shannon Renae Walters - NPI 1326009119
Shannon Renae Walters is a Chiropractor in East Berlin, Pennsylvania. Shannon Renae Walters practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shannon Renae Walters is 1326009119. The last update date is 2007-07-08.
Shannon Renae Walters's current location address is 121 W King St, East Berlin, Pennsylvania. You can contact this provider via phone number 7172598056 and fax number 7172596774. The mailing address for Shannon Renae Walters is 121 W King St, East Berlin, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Renae Walters |
|---|---|
| Address | 121 W King St, East Berlin, Pennsylvania |
| Phone Number | 7172598056 |
| Fax Number | 7172596774 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1326009119 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 121 W King St |
|---|---|
| City | East Berlin |
| State | Pennsylvania (PA) |
| Post Code | 173169728 |
| Phone Number | 7172598056 |
| Fax Number | 7172596774 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC006278L |
|
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 |
|---|---|---|---|
| 273643 | PA | MAMSI | |
| 2226775 | PA | UNITED HEALTHCARE | |
| 5990505 | PA | AETNA | |
| 8661359001 | PA | CIGNA | |
| 761669 | PA | KEYSTONE HEALTH PLAN | |
| 3086800 | PA | CAPITAL BLUE CROSS | |
| WA761669 | PA | HIGHMARK |
Post Comment/ Review Below
What is the unique identification code assigned to Shannon Renae Walters by the Centers for Medicare & Medicaid Services?
The Shannon Renae Walters has been issued the NPI (National Provider Identifier) 1326009119. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Shannon Renae Walters is located?
The Shannon Renae Walters is situated at the following address: 121 W King St, East Berlin, PA, 173169728.
What is the area of specialization for Shannon Renae Walters, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shannon Renae Walters is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date was the 1326009119 assigned to Shannon Renae Walters?
The Shannon Renae Walters was issued its 1326009119 on 2006-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Shannon Renae Walters's details last updated?
The information pertaining to the Shannon Renae Walters, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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