MEDICARE: DR. GEORGE FRANKLIN SHORE D.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2010	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437280427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE FRANKLIN SHORE D.C

Provider Business Mailing Address
First Line	:	PO BOX 78
Second Line	:
City	:	SAINT PARIS
State	:	OH
Zip	:	43072-0078
Country	:	US
Telephone Number	:	937-663-0669
Fax Number	:	888-244-1959

Provider Business Practice Location Address
First Line	:	400 W MAIN ST
Second Line	:
City	:	SAINT PARIS
State	:	OH
Zip	:	43072-9749
Country	:	US
Telephone Number	:	937-663-0669
Fax Number	:	888-244-1959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	03/19/2020

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