Provider Demographics
NPI:1114902566
Name:SHROYER, TERRY A (DC)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:A
Last Name:SHROYER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 NORTH JEFFERSON STREET
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441
Mailing Address - Country:US
Mailing Address - Phone:785-762-4800
Mailing Address - Fax:785-762-2136
Practice Address - Street 1:602 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-0821
Practice Address - Country:US
Practice Address - Phone:785-762-4800
Practice Address - Fax:785-762-2136
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS007412Medicare ID - Type Unspecified