Shaun James Poehler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011684 Issued in IL

Practice address

201 E 3Rd St
Centralia, IL 62801-3901

Phone

(618) 339-6250

Fax

(618) 545-9682

NPI assigned

Jul 1, 2010

Last updated

Oct 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Plus Chiropractic and Rehab Center, LLC

  • Chiropractor
  • Centralia, IL
  • NPI 1588931018
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1053622357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 MITCHELL AVE",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628014928",
            "telephone_number": "618-719-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 3RD ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013901",
            "telephone_number": "618-339-6250",
            "fax_number": "618-545-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHLER",
        "first_name": "SHAUN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Centralia, IL
• Providers in Centralia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.