Shuttleworth Chiropractic Centre Pa

LBN: Shuttleworth Chiropractic Centre Pa
Shuttleworth Chiropractic Centre Pa is an health care organization with primary practice located at 665 East Pass Rd Ste 3 , Gulfport MS 39507. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Shuttleworth Chiropractic Centre Pa can be contacted via phone (228) 896-3002, or through Shuttleworth, Mark R via phone (228) 896-3002.

Contact Information

Primary practice address
665 East Pass Rd Ste 3 Gulfport MS 39507
Phone: (228) 896-3002
Fax: (228) 897-1417
Website:
Map and Directions
Authorized official contact:
Name: Shuttleworth, Mark R Doctor of Chiropractic (DC)
Phone: (228) 896-3002

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0753 Mississippi

Profile Details

NPI number 1609948397
LBN Legal business name Shuttleworth Chiropractic Centre Pa
DBA Doing business as
Authorized official Shuttleworth, Mark R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 27th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609948397 NPPES
Mississippi MEDICAID 00115351

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