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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