Organization
SHIER FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DAVID SHIER D.C. (PRESIDENT)
(920) 821-0071
Entity
Organization
Contact information
Practice address
211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916-3119
(920) 821-0071
(920) 821-0072
Mailing address
211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916-3119
(920) 821-0071
(920) 821-0072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4138-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518989631
NPI PROVIDER NUMBER
WI
05
—
39004500
—
WI
Enumeration date
10/09/2007
Last updated
01/15/2010
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