Provider Demographics
NPI:1376147165
Name:SHEARIN CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SHEARIN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:757-617-7127
Mailing Address - Street 1:2469 PRUDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4235
Mailing Address - Country:US
Mailing Address - Phone:757-539-4100
Mailing Address - Fax:757-539-9187
Practice Address - Street 1:2469 PRUDEN BLVD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-4235
Practice Address - Country:US
Practice Address - Phone:757-539-4100
Practice Address - Fax:757-539-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty