Provider Demographics
NPI:1073871539
Name:SHROPSHIRE CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:SHROPSHIRE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTAL
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SHROPSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-864-7999
Mailing Address - Street 1:2530 F ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3843
Mailing Address - Country:US
Mailing Address - Phone:661-864-7999
Mailing Address - Fax:661-864-7977
Practice Address - Street 1:2530 F ST
Practice Address - Street 2:SUITE 102
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3843
Practice Address - Country:US
Practice Address - Phone:661-864-7999
Practice Address - Fax:661-864-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0308950Medicare PIN