| Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt | |
|
3655 Alamo St Ste 201, Simi Valley, CA 93063-2187 | |
| (805) 581-2310 | |
| (805) 335-2439 |
| Full Name | Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3655 Alamo St Ste 201, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366005704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Shawn Stuart Decloedt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144461294 PECOS PAC ID: 2961539788 Enrollment ID: I20230116000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt Po Box 1209, Simi Valley, CA 93062-1209 Ph: (805) 581-2310 | Simi Spine And Wellness A Chiropractic Corporation Of Shawn Decloedt 3655 Alamo St Ste 201, Simi Valley, CA 93063-2187 Ph: (805) 581-2310 |
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