Shardlow, Tyson

Shardlow, Tyson is an sole proprietor health care provider with primary practice located at 694 Lisbon St , Lisbon Falls ME 04252-1230. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Shardlow, Tyson can be contacted via phone (207) 353-6310.

Contact Information

Primary practice address
694 Lisbon St Lisbon Falls ME 04252-1230
Phone: (207) 353-6310
Fax: (207) 353-4074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CR1404 Maine

Profile Details

NPI number 1568521896
LBN Legal business name Shardlow, Tyson
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568521896 NPPES
Maine Other 048519 BLUECROSS-BLUESHIELD
Maine Other AA22147 BLUECROSS-BLUESHIELD
Maine MEDICAID 421290099 BLUECROSS-BLUESHIELD

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