Individual
ISIAH SHANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2502 BEECH ST STE 60, VALPARAISO, IN 46383-6215
(219) 786-9596
Mailing address
2502 BEECH ST STE 60, VALPARAISO, IN 46383-6215
(219) 669-5010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08003418A
IN
111NN1001X
Nutrition Chiropractor
08003418A
IN
111NR0400X
Rehabilitation Chiropractor
08003418A
IN
111NX0800X
Orthopedic Chiropractor
08003418A
IN
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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