Shannon Nichole Black D.C.

NPI 1134413438 - Chiropractor - 111N00000X

NPI Details
NPI 1134413438
Gender Female
Enumeration Date 06/03/2011
Last Updated 06/03/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
3803 PALMER PARK BLVD
SUITE B
COLORADO SPRINGS CO, 80909-2600, US
Phone (719) 443-0750
Fax (719) 634-4538
Business Location
3669 REBECCA LN
APT A
COLORADO SPRINGS CO, 80917-5084, US
Phone (765) 585-3996
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 6689
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According to our database, Dr. Shannon Nichole Black D.C. NPI is 1134413438, taxonomy code is 111N00000X and license number is 6689, license state is located at Colorado. Shannon Nichole Black D.C. physically located at 3803 Palmer Park Blvd, Colorado Springs CO, 80909-2600. NPI Number Shannon Nichole Black D.C. has the Individual type.

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1134413438 NPI number is provided on an as is basis without warranty of any kind. 1134413438 is maintained by the National Plan & Provider Enumeration System. The contents of Shannon Nichole Black D.C. are for informational purposes only.