Provider Demographics
NPI:1275567422
Name:SHIELDS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SHIELDS CHIROPRACTIC LLC
Other - Org Name:SHIELDS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:VANCE
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-781-7700
Mailing Address - Street 1:7261 GRATIOT RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48609-6908
Mailing Address - Country:US
Mailing Address - Phone:989-781-7700
Mailing Address - Fax:989-781-7733
Practice Address - Street 1:7261 GRATIOT RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48609-6908
Practice Address - Country:US
Practice Address - Phone:989-781-7700
Practice Address - Fax:989-781-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty