Staker, Shane A
Staker, Shane A is an sole proprietor health care provider with primary practice located at 323 East Main Street , West Branch IA 52358. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Staker, Shane A can be contacted via phone (319) 643-5194.Contact Information
Primary practice address
323 East Main Street
West Branch IA 52358
Phone: (319) 643-5194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 06621 | Iowa |
| Chiropractic Providers / Chiropractor | 111N00000X | DC28913 | California |
Profile Details
| NPI number | 1588758338 |
|---|---|
| LBN Legal business name | Staker, Shane A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588758338 | NPPES |
| Iowa | MEDICAID | 0473165 |
Popular Providers
-
Nelson, Dana Lynn
1103 N Elm St Suite 102, West Liberty IA 52776-1006 -
Langel, Rodney Dale
5907 Ashworth Rd , West Des Moines IA 50266-7109 -
Hansen, Jillian Jan
323 South Broadway , West Bend IA 50597-0297 -
English, Tanya R
410 N 4Th St , West Branch IA 52358-9659 -
Rexroth, Joel Thomas
2411 W Mount Pleasant St , West Burlington IA 52655-9614 -
Brown, Roger H.
2900 Westown Pkwy Suite B, West Des Moines IA 50266-1315 -
Rexroth, Thomas Allen
2411 W Mount Pleasant St , West Burlington IA 52655-9614 -
Swensen, Judd M
114 E Elm St , West Union IA 52175-1329