Shine for Health
Organization Active NPI Chiropractor · Sergeant Bluff, IA
NPI 1164618922 · NPPES record last updated Sep 14, 2007
Key facts
- NPI
- 1164618922
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06954 (IA)
- Legal business name
- SHINE FOR HEALTH
- Practice address
- 400 Wild Plum Way
Sergeant Bluff, IA 51054-3502 - Phone
- (712) 943-1755
- NPI assigned
- Sep 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael C Shine, D.C.
- Title
- President
- Phone
- (712) 943-1755
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06954 | IA | Yes |
Addresses
Primary practice location
400 Wild Plum Way
Sergeant Bluff, IA 51054-3502
Mailing address
400 Wild Plum Way
Sergeant Bluff, IA 51054-3502
Phone (712) 943-1755
Other providers in Sergeant Bluff, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.