Provider Demographics
NPI:1366670119
Name:SHEMANSKY CHIROPRACTIC, P.A.
Entity Type:Organization
Organization Name:SHEMANSKY CHIROPRACTIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIP
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHEMANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-948-5727
Mailing Address - Street 1:PO BOX 366235
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34136-6235
Mailing Address - Country:US
Mailing Address - Phone:239-948-5727
Mailing Address - Fax:239-948-5895
Practice Address - Street 1:11725 COLLIER BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6524
Practice Address - Country:US
Practice Address - Phone:239-948-2361
Practice Address - Fax:239-948-5895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8023111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL53933ZOtherMEDICARE PROVIDER NUMBER
FL53933OtherBCBS PROVIDER ID
FLK9886OtherMEDICARE-PTAN
FL53933OtherBCBS PROVIDER ID