MEDICARE: DR. SHATIKE WARD 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	010886	NY

General Provider Information

NPI Number	:	1922177369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHATIKE WARD D.C.

Provider Business Mailing Address
First Line	:	310A DECATUR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-1803
Country	:	US
Telephone Number	:	347-526-1159
Fax Number	:

Provider Business Practice Location Address
First Line	:	310A DECATUR ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-1803
Country	:	US
Telephone Number	:	347-526-1159
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/14/2020

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