Provider Demographics
NPI:1194035113
Name:SHARKEY, MICHAEL SHANE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SHANE
Last Name:SHARKEY
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 1:3811 TWIN CREEK DR
Mailing Address - Street 2:102
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123
Mailing Address - Country:US
Mailing Address - Phone:402-884-4774
Mailing Address - Fax:402-884-4787
Practice Address - Street 1:3811 TWIN CREEK DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-4000
Practice Address - Country:US
Practice Address - Phone:402-884-4774
Practice Address - Fax:402-884-4787
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor