Individual
DR. MARTIN E SHEARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
909 W MAIN ST, STIGLER, OK 74462-2341
(918) 967-3900
(918) 967-3908
Mailing address
909 W MAIN ST, STIGLER, OK 74462-2341
(918) 967-3900
(918) 967-3908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2553
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
730476561
TAX IDENTIFICATION
OK
Enumeration date
09/24/2007
Last updated
10/14/2020
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