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Individual

DR. SHAWN KEVIN ELLIOTT

Active
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Individual

DR. SHAWN KEVIN ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005787
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130514
GHP
MO
01
—
239265
HEALTHLINK
MO
01
—
44-20000
UNITED HEALTHCARE
MO
01
—
5326
ANTHEM BLUE CROSS & BLUE
MO
01
—
611449400
US DEPT OF LABOR - DFEC
MO
01
—
700081
HEALTH PARTNERS
MO
Enumeration date
10/13/2006
Last updated
12/21/2007
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