Provider Demographics
NPI:1932791712
Name:SIMMER, SHAUN JARLERH X (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:JARLERH
Last Name:SIMMER
Suffix:X
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 HIGHWAY 73 STE A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-9225
Mailing Address - Country:US
Mailing Address - Phone:704-951-8238
Mailing Address - Fax:704-951-8137
Practice Address - Street 1:7505 HIGHWAY 73 STE A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-9225
Practice Address - Country:US
Practice Address - Phone:704-951-8238
Practice Address - Fax:704-951-8137
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor