Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE GALLICK, DC
Active Sole ProprietorDR. SHANE GALLICK, DC is a Chiropractor healthcare provider located in LAKE HALLIE, Wisconsin. NPI 1932637204 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · LAKE HALLIE, WI
Registration Details
- NPI Number
- 1932637204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2017 (9.2058305074821 yrs)
- Last Updated
- May 31, 2017
- License
-
5073 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4753 COUNTY HIGHWAY JLAKE HALLIE, WI, 547293387Browse WI providers · Browse ZIP 54729
- Phone
- 7204485274
- Primary Specialty
-
Chiropractor
111N00000X
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.