Provider Demographics
NPI:1245441161
Name:SHROPSHIRE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:SHROPSHIRE CHIROPRACTIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHROPSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-274-3809
Mailing Address - Street 1:5286 WILLIAMSBURG WAY
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-1780
Mailing Address - Country:US
Mailing Address - Phone:608-274-3809
Mailing Address - Fax:608-274-3982
Practice Address - Street 1:5286 WILLIAMSBURG WAY
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1780
Practice Address - Country:US
Practice Address - Phone:608-274-3809
Practice Address - Fax:608-274-3982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty