Walton CS XII PC
Organization Active NPI Chiropractor · O Fallon, IL
NPI 1912199449 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1912199449
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- WALTON CS XII PC
- Practice address
- 715 Lakepointe Centre Dr
Suite 127
O Fallon, IL 62269-3065 - Phone
- (618) 628-1111
- Fax
- (618) 628-9053
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Shane L. May, D.C.
- Title
- Chiropractor
- Phone
- (618) 628-1111
Practitioners 1
-
Kimberly Joanna Sachs, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | IL | Yes |
Addresses
Primary practice location
715 Lakepointe Centre Dr
Suite 127
O Fallon, IL 62269-3065
Mailing address
715 Lakepointe Centre Dr
Suite 127
O Fallon, IL 62269-3065
Phone (618) 628-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08232044 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names
- May Chiropractic
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. 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.