DR. KEVIN DOUGLAS SHEARER D.C. NPI 1669421376

NPI Information

NPI: 1669421376
Provider Name: DR. KEVIN DOUGLAS SHEARER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
17720 SE MILL PLAIN BLVD
SUITE 160
VANCOUVER, WA
ZIP 98683
Phone: (360) 944-4437
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DR. Kevin Douglas Shearer, D.C. is a chiropractor in Vancouver, WA. The provider is a provider qualified by 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. DR. Kevin Douglas Shearer, D.C. NPI is 1669421376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17720 SE MILL PLAIN BLVD
SUITE 160
VANCOUVER, WA
ZIP 98683-583
Phone: (360) 944-4437

The enumeration date for this NPI number is 5/9/2006 and was last updated on 10/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		KS8927	MICHIGAN	No
2	111N00000X	Chiropractor		CH00034737	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P017900006	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
2	V064663	MEDICARE UPIN	MICHIGAN
3	95-0-C3-1317-0	OTHER	MICHIGAN	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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