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Individual

DR. SHAWN KEVIN ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1016 E MAIN, LINN, MO 65051
(573) 897-0100
(573) 897-3966
Mailing address
P O BOX 1099, LINN, MO 65051
(573) 897-0100
(573) 897-3966

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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