Walters, Shannon Renae

Walters, Shannon Renae is an individual health care provider with primary practice located at 121 W King St , East Berlin PA 17316-9728. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Walters, Shannon Renae can be contacted via phone (717) 259-8056.

Contact Information

Primary practice address
121 W King St East Berlin PA 17316-9728
Phone: (717) 259-8056
Fax: (717) 259-6774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC006278L Pennsylvania

Profile Details

NPI number 1326009119
LBN Legal business name Walters, Shannon Renae
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326009119 NPPES
Pennsylvania Other 273643 MAMSI
Pennsylvania Other 2226775 MAMSI
Pennsylvania Other 5990505 MAMSI
Pennsylvania Other 8661359001 MAMSI
Pennsylvania Other 0761669 MAMSI
Pennsylvania Other 03086800 MAMSI
Pennsylvania Other WA761669 MAMSI

Popular Providers