Organization
KING CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN D KING D.C. (PRESIDENT)
(570) 742-6325
Entity
Organization
Contact information
Practice address
5305 STATE ROUTE 405, MILTON, PA 17847-7515
(570) 742-6325
(570) 742-7789
Mailing address
5305 STATE ROUTE 405, MILTON, PA 17847-7515
(570) 742-6325
(570) 742-7789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DDC004705L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506276
PA BLUE SHIELD
PA
Enumeration date
08/05/2006
Last updated
08/22/2020
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