Provider Demographics
NPI:1831371863
Name:SHIER, JOHN THOMAS (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:SHIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7883 CAMINO TRANQUILO
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-2039
Mailing Address - Country:US
Mailing Address - Phone:858-717-2477
Mailing Address - Fax:858-627-9223
Practice Address - Street 1:7051 CLAIREMONT MESA BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1040
Practice Address - Country:US
Practice Address - Phone:858-627-9220
Practice Address - Fax:858-627-9223
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30473111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor