Provider Demographics
NPI:1811710296
Name:SHILOH ACUPUNCTURE AND CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:SHILOH ACUPUNCTURE AND CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-476-2319
Mailing Address - Street 1:1005 LINWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4919
Mailing Address - Country:US
Mailing Address - Phone:870-476-2319
Mailing Address - Fax:870-359-6094
Practice Address - Street 1:1005 LINWOOD DR STE B
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4919
Practice Address - Country:US
Practice Address - Phone:870-476-2319
Practice Address - Fax:870-359-6094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty