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Dr. Shannon Renae Walters, DC
Chiropractor in East Berlin, Pennsylvania
NPI 1326009119

Shannon Renae Walters is a Chiropractor based in East Berlin, PA. Shannon Renae Walters practices in East Berlin, PA and has the professional credentials of DC. The NPI Number for Shannon Renae Walters is 1326009119 and holds a License No. DC006278L (Pennsylvania).

The current practice location address for Shannon Renae Walters is 121 W King St, East Berlin, PA and can be reached out via phone at 717-259-8056 and via fax at 717-259-6774.

Location: 121 W King St, East Berlin, PA, 17316-9728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326009119
Provider Name
Shannon Renae Walters
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
121 W King St, East Berlin, PA, 17316-9728
Phone Number
717-259-8056
Fax Number
717-259-6774
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273643 01 PA MAMSI
2226775 01 PA UNITED HEALTHCARE
5990505 01 PA AETNA
8661359001 01 PA CIGNA
0761669 01 PA KEYSTONE HEALTH PLAN
03086800 01 PA CAPITAL BLUE CROSS
WA761669 01 PA HIGHMARK
institution
Provider Business Practice Location Address Details
Address
121 W King St
City
East Berlin
State
Pennsylvania
Zip
17316-9728
Phone Number
717-259-8056
Fax Number
717-259-6774
person
Provider Business Mailing Address Details
Address
121 W King St
City
East Berlin
State
Pennsylvania
Zip
17316-9728
Phone Number
717-259-8056
Fax Number
717-259-6774
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC006278L (Pennsylvania)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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