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NPI Code Detail

MEDICARE: DR. CHIP T SHEMANSKY D.C.

MEDICARE:  DR. CHIP T SHEMANSKY  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
1111N00000XChiropractorCH-8023FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1593701954OTHERFLTAX ID

General Provider Information

NPI Number : 1851347488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHIP T SHEMANSKY D.C.
Provider Business Mailing Address
First Line : PO BOX 366235
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34136-6235
Country : US
Telephone Number : 239-948-5727
Fax Number : 239-948-5895
Provider Business Practice Location Address
First Line : 3501 HEALTH CENTER BLVD
Second Line : SUITE 2430
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-948-5727
Fax Number : 239-948-5895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 04/15/2013

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Directions to “ DR. CHIP T SHEMANSKY D.C.” Practice Location

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