Dr. Shanon Robert Ray
D.C | Chiropractor | 28+ years Exp
Medicare Enrolled
418 Demers Ave, East Grand Forks
Minnesota, 56721-1836
218-773-8403 218-773-9812
Maps & Directions is a East Grand Forks, Minnesota based chiropractor with
28 years of experience in
General Chiropractic. He completed his graduation from
Northwestern College Of Chiropractic in 1997. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shanon Robert Ray as General Chiropractic is
3582 in Minnesota.
Dr. Shanon Robert Ray is qualified as 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.
Complete Profile:
Dr. Shanon Robert Ray speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | D.C |
| Experience: | 28+ years |
| Medical School Attended: | Northwestern College Of Chiropractic |
| Graduation Year: | 1997 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 418 Demers Ave, East Grand Forks,
Minnesota, 56721-1836 |
| Phone: | 218-773-8403 |
| Fax: | 218-773-9812 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5395835987 |
| Enrollment ID: | I20071219000710 |
| NPI Number: | 1164603833 |
| NPI Enumeration Date: | 21 Nov, 2007 |
| NPI Last Update On: | 21 Nov, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shanon Robert Ray are as mentioned below.
| License Number | Specialization | State | Status | |
| 3582 | Chiropractor | Minnesota | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shanon Robert Ray such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 22582 | Other | North Dakota | BC/BS |
| 2086882400 | Medicaid | Minnesota | |
| 12129 | Medicaid | North Dakota | |
| 71D82RA | Other | Minnesota | BC/BS |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 418 Demers Ave,
East Grand Forks, Minnesota |
| Zip: | 56721-1836 |
| Phone Number: | 218-773-8403 |
| Fax Number: | 218-773-9812 |
Patients can reach Dr. Shanon Robert Ray at
418 Demers Ave, East Grand Forks, Minnesota or can
call to book an appointment on 218-773-8403.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.