Myers, Shannon Wade
Myers, Shannon Wade is an sole proprietor health care provider with primary practice located at 111 Broyles St Suite 6, Johnson City TN 37601-2532. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Myers, Shannon Wade can be contacted via phone (423) 610-0005.Contact Information
Primary practice address
111 Broyles St Suite 6
Johnson City TN 37601-2532
Phone: (423) 610-0005
Fax: (423) 610-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2000 | Tennessee |
Profile Details
| NPI number | 1982622601 |
|---|---|
| LBN Legal business name | Myers, Shannon Wade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Feb 4th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982622601 | NPPES |
| Tennessee | Other | 4091317 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 1407012495 | BLUE CROSS BLUE SHIELD |
| Tennessee | Other | 1982622601 | BLUE CROSS BLUE SHIELD |
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