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Organization
SHANNON CHIROPRACTIC LLC
Active
Organization
SHANNON CHIROPRACTIC LLC
Active
Other names
Shannon Chiropractic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER SHANNON DC (CHIROPRACTOR)
(417) 349-4116
Entity
Organization
Contact information
Practice address
920 N MAIN ST STE 2, MOUNTAIN GROVE, MO 65711-1315
(417) 349-4116
Mailing address
920 N MAIN ST STE 2, MOUNTAIN GROVE, MO 65711-1315
(417) 349-4116
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018000702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295243376
NPI
MO
Enumeration date
01/25/2018
Last updated
01/25/2018
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