Organization
CRITTER CHIROPRACTIC INC.
Active
Other names
Simply Chiropractic Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE KAY SHOOK DC (PRESIDENT)
(618) 533-2225
Entity
Organization
Contact information
Practice address
211 S PERRINE AVE, CENTRALIA, IL 62801-3635
(618) 533-2225
Mailing address
211 S PERRINE AVE, CENTRALIA, IL 62801-3635
(618) 533-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22349
MEDICARE PTAN
WY
01
—
W22350
MEDICARE PTAN
WY
Enumeration date
12/16/2008
Last updated
02/06/2024
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