Individual
SHANNON BRAYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E ROYALTON RD, STE 108, BROADVIEW HTS, OH 44147-4038
(440) 526-4940
(440) 526-4885
Mailing address
203 E ROYALTON RD, STE 108, BROADVIEW HTS, OH 44147-4038
(440) 526-4940
(440) 526-4885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3152
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054628
UNITED HEALTHCARE
—
05
—
2248857
—
OH
01
—
2802952
AETNA SELECT
—
01
—
7241987
CIGNA 3
—
01
—
7629359
AETNA
—
01
—
9119098823A11
ANTHEM BC/BS
—
Enumeration date
06/23/2005
Last updated
07/08/2007
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