Organization
SHOOK CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ULUSTER SHOOK III D.C. (OWNER)
(662) 454-7792
Entity
Organization
Contact information
Practice address
27 RED BAY RD, GOLDEN, MS 38847
(662) 454-7792
(665) 454-7994
Mailing address
P.O. BOX 495, GOLDEN, MS 38847
(662) 454-7792
(662) 454-7994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1027
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126319
—
MS
05
—
09016146
—
MS
Enumeration date
10/03/2006
Last updated
07/16/2014
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