Individual
DR. VERNON R SHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2000 N DAYTON LAKEVIEW RD, NEW CARLISLE, OH 45344-8135
(937) 845-1000
(937) 845-1009
Mailing address
2000 N DAYTON LAKEVIEW RD, NEW CARLISLE, OH 45344-8135
(937) 845-1000
(937) 845-1009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522563
—
OH
01
—
31119120500
BWC
OH
Enumeration date
09/25/2006
Last updated
07/08/2007
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