| Simply Chiropractic Inc. | |
|
211 S Perrine Ave, Centralia, IL 62801-3635 | |
| (618) 533-2225 | |
| Not Available |
| Full Name | Simply Chiropractic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 211 S Perrine Ave, Centralia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821234154 | NPI | - | NPPES |
| W22349 | Other | WY | MEDICARE PTAN |
| W22350 | Other | WY | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Stephanie Kay Shook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336327105 PECOS PAC ID: 6305909318 Enrollment ID: I20160923000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Chiropractic Inc. 211 S Perrine Ave, Centralia, IL 62801-3635 Ph: (618) 533-2225 | Simply Chiropractic Inc. 211 S Perrine Ave, Centralia, IL 62801-3635 Ph: (618) 533-2225 |
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