Individual
DR. TYSON SHARDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
694 LISBON ST, LISBON FALLS, ME 04252-1230
(207) 353-6310
(207) 353-4074
Mailing address
694 LISBON ST, LISBON FALLS, ME 04252-1230
(207) 353-6310
(207) 353-4074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1404
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048519
BLUECROSS-BLUESHIELD
ME
05
—
421290099
—
ME
01
—
AA22147
HARVARD PILGRIM
ME
Enumeration date
12/06/2006
Last updated
03/11/2020
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