=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063503928
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GAIL LYNN SHRINER D.C.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2006
-----------------------------------------------------
Last Update Date | 10/26/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7208 E CAVE CREEK RD SUITE F
-----------------------------------------------------
City | CAREFREE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85377
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-488-8737
-----------------------------------------------------
Fax | 480-488-9040
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 232
-----------------------------------------------------
City | CAVE CREEK
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85327-0232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-488-8737
-----------------------------------------------------
Fax | 480-595-1865
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 7271
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------