Grimes, Shannon

Grimes, Shannon is an individual health care provider with primary practice located at 1603 S Muskogee Ave , Tahlequah OK 74464-5430. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grimes, Shannon can be contacted via phone (918) 453-9355.

Contact Information

Primary practice address
1603 S Muskogee Ave Tahlequah OK 74464-5430
Phone: (918) 453-9355
Fax: (918) 871-4801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3684 Oklahoma

Profile Details

NPI number 1730681727
LBN Legal business name Grimes, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2018
Last updated Jun 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730681727 NPPES
Oklahoma Other V082185600 DRIVERS LICENCE

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