Shaun James Poehler D.C.

NPI 1053622357 - Chiropractor - 111N00000X

NPI Details
NPI 1053622357
Gender Male
Enumeration Date 07/01/2010
Last Updated 10/21/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
201 E 3RD ST
CENTRALIA IL, 62801-3901, US
Phone (618) 339-6250
Fax (618) 545-9682
Business Location
1445 MITCHELL AVE
CENTRALIA IL, 62801-4928, US
Phone (618) 719-3180
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038.011684
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According to our database, Dr. Shaun James Poehler D.C. NPI is 1053622357, taxonomy code is 111N00000X and license number is 038.011684, license state is located at Illinois. Shaun James Poehler D.C. physically located at 201 E 3rd St, Centralia IL, 62801-3901. NPI Number Shaun James Poehler D.C. has the Individual type.

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1053622357 NPI number is provided on an as is basis without warranty of any kind. 1053622357 is maintained by the National Plan & Provider Enumeration System. The contents of Shaun James Poehler D.C. are for informational purposes only.