Shannon R. Wyman is a Fairbanks, Alaska based male chiropractor with 20 years of experience in General Chiropractor. He completed his graduation from Northwestern College Of Chiropractic in 2004. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Shannon R. Wyman as General Chiropractor is 0408 in Alaska. Shannon R. Wyman 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:
Shannon R. Wyman 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.
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:
5092780486
Enrollment ID:
I20040830000457
NPI Number:
1629125356
NPI Enumeration Date:
04 Jan, 2007
NPI Last Update On:
16 Jan, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon R. Wyman are as mentioned below.
License Number
Specialization
State
Status
0408
Chiropractor
Alaska
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Shannon R. Wyman is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Spaulding Chiropractic Clinic Inc (1658263413)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Shannon R. Wyman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CH0408
Medicaid
Alaska
1004390
Medicaid
Alaska
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
515 7th Ave Ste 230, Fairbanks, Alaska
Zip:
99701-4949
Phone Number:
907-456-4234
Fax Number:
907-451-9168
Patients can reach Shannon R. Wyman at 515 7th Ave Ste 230, Fairbanks, Alaska or can call to book an appointment on 907-456-4234. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.