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Organization

DANIEL T. SHEA DC,PC

Active
Other names
Shea Chiropractic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL THOMAS SHEA DC (PRESIDENT)
(231) 796-3935
Entity
Organization

Contact information

Practice address
621 N STATE ST, BIG RAPIDS, MI 49307-1452
(231) 796-3935
(231) 796-3510
Mailing address
621 N STATE ST, BIG RAPIDS, MI 49307-1452
(231) 796-3935
(231) 796-3510

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005115
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95OE410330
BC/BS PROVIDER #
MI
Enumeration date
09/16/2006
Last updated
08/22/2020
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