Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON LYNN CLARK, D.C.
Deactivated Sole ProprietorDR. SHANNON LYNN CLARK, D.C. is a Chiropractor healthcare provider located in REINBECK, Iowa. NPI 1720089311 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · REINBECK, IA
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720089311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (0.63287671232877 yrs)
- Last Updated
- Sep 20, 2012
- Deactivated
- Mar 22, 2006
- License
-
A05831 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
423 MAIN STREINBECK, IA, 506691049Browse IA providers · Browse ZIP 50669
- Phone
- 3193452831
- Fax
- 3193456626
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in REINBECK, IA
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH R STORJOHANN | D.C. | 1104816891 |
| DR. BRETT MORTON MEDHUS | D.C. | 1962589564 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.