# SHIER FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831387455
- **Authorized official:** DR. BENJAMIN DAVID SHIER D.C. (PRESIDENT)
- **Authorized official phone:** (920) 821-0071

## Contact information

- **Practice address:** 211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916-3119
- **Practice address phone:** (920) 821-0071
- **Practice address fax:** (920) 821-0072
- **Mailing address:** 211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916-3119
- **Mailing address phone:** (920) 821-0071
- **Mailing address fax:** (920) 821-0072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 4138-012 | WI | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 01/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1518989631 | NPI PROVIDER NUMBER | WI |
| 05 | — | 39004500 | — | WI |