Provider Demographics
NPI:1174350508
Name:SHEARWOOD FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SHEARWOOD FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SHEARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-894-2326
Mailing Address - Street 1:100 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:OK
Mailing Address - Zip Code:74432-2410
Mailing Address - Country:US
Mailing Address - Phone:918-707-2987
Mailing Address - Fax:
Practice Address - Street 1:100 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-2410
Practice Address - Country:US
Practice Address - Phone:918-707-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty