Shannon Wade Myers in Johnson City - Chiropractor
Shannon Wade Myers - NPI 1982622601
Shannon Wade Myers is a Chiropractor in Johnson City, Tennessee. Shannon Wade Myers practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shannon Wade Myers is 1982622601. The last update date is 2020-02-04.
Shannon Wade Myers's current location address is 111 Broyles St, Johnson City, Tennessee. You can contact this provider via phone number 4236100005 and fax number 4236100009. The mailing address for Shannon Wade Myers is 111 Broyles St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Wade Myers |
|---|---|
| Address | 111 Broyles St, Johnson City, Tennessee |
| Phone Number | 4236100005 |
| Fax Number | 4236100009 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1982622601 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2020-02-04 |
Provider Mailing Address Detail
| Address | 111 Broyles St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012532 |
| Phone Number | 4236100005 |
| Fax Number | 4236100009 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2000 |
|
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 |
|---|---|---|---|
| 4091317 | TN | BLUE CROSS BLUE SHIELD | |
| 1407012495 | TN | GROUP NPI | |
| 1982622601 | TN | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shannon Wade Myers by the Centers for Medicare & Medicaid Services?
The Shannon Wade Myers has been assigned the NPI (National Provider Identifier) 1982622601 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Shannon Wade Myers is geographically located?
The Shannon Wade Myers is physically situated at the following location: 111 Broyles St, Johnson City, TN, 376012532.
What is Shannon Wade Myers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Wade Myers is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date was the 1982622601 assigned to Shannon Wade Myers?
The Shannon Wade Myers was issued its 1982622601 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shannon Wade Myers's information last updated?
The Shannon Wade Myers's information was last updated on 2020-02-04.