Shane D. Boucher in University Place - Chiropractor
Shane D. Boucher - NPI 1093805178
Shane D. Boucher is a Chiropractor in University Place, Washington. Shane D. Boucher practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shane D. Boucher is 1093805178. The last update date is 2023-01-14.
Shane D. Boucher's current location address is 4250 Alturus St W, University Place, Washington. You can contact this provider via phone number 2818814683 and fax number 2818427701. The mailing address for Shane D. Boucher is 4250 Alturus St W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane D. Boucher |
|---|---|
| Address | 4250 Alturus St W, University Place, Washington |
| Phone Number | 2818814683 |
| Fax Number | 2818427701 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1093805178 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2023-01-14 |
Provider Mailing Address Detail
| Address | 4250 Alturus St W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 984666612 |
| Phone Number | 2818814683 |
| Fax Number | 2818427701 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00034742 |
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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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What is the unique 10-digit identification code assigned to Shane D. Boucher by the Centers for Medicare & Medicaid Services?
The Shane D. Boucher has been issued the NPI (National Provider Identifier) 1093805178, which 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 Shane D. Boucher is located?
The Shane D. Boucher is situated at the following address: 4250 Alturus St W, University Place, WA, 984666612.
What is the area of specialization for Shane D. Boucher, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane D. Boucher is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did the Shane D. Boucher receive its 1093805178?
The Shane D. Boucher was issued its 1093805178 on 2006-10-13, which is the date when the organization was assigned this unique identifier.
As of what date were the Shane D. Boucher's details last updated?
The information pertaining to the Shane D. Boucher, including its address, specialty, and other details, was most recently updated on 2023-01-14.
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