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Individual

DR. SHANNON RENAE WALTERS

Active
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Individual

DR. SHANNON RENAE WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC006278L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03086800
CAPITAL BLUE CROSS
PA
01
—
0761669
KEYSTONE HEALTH PLAN
PA
01
—
2226775
UNITED HEALTHCARE
PA
01
—
273643
MAMSI
PA
01
—
5990505
AETNA
PA
01
—
8661359001
CIGNA
PA
01
—
WA761669
HIGHMARK
PA
Enumeration date
03/31/2006
Last updated
07/13/2026
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