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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON PEACOCK, DC

Active Sole Proprietor

DR. SHANNON PEACOCK, DC is a Chiropractor healthcare provider located in TAHOE CITY, California. NPI 1952811895 is currently active in the NPPES registry. Verify at CMS.

Chiropractor · TAHOE CITY, CA

Registration Details

NPI Number
1952811895
Provider Type
Individual
Gender
Male
NPI Issued
Oct 5, 2017 (8.843942866795 yrs)
Last Updated
May 31, 2018
License
34034 (CA)
Sole Proprietor
Yes

Practice Information

Address
645 WEST LAKE BLVD. #3
PO BOX 7526
TAHOE CITY, CA, 961457526
Browse CA providers · Browse ZIP 96145
Phone
5305837475
Fax
5305837477
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in TAHOE CITY, CA

Name Credential NPI
DR. TIMOTHY GLENN SCHROEDER D.C. 1982638854
DR. LEWIS GROVE D.C. 1275649436
MR. JOHN F WALSH D.C. 1518183748
DR. AMY ROSEN D.C. 1245475706
DR. LAUREN ALEXANDRA CRONE DC 1124314968
DR. ABBE TAYLOR GAGE DC 1952037079
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.