Doctor Name: | SHANNA GAIL CASS |
NPI Number: | 1003108192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 08002569A |
Business Practice Address: | 2600 Roosevelt Rd Suite 200-5 Valparaiso, IN - 463830970 |
Business Phone Number: | 2194655015 |
Business Fax Number: | 2195483828 |
Mailing Address: | 700 Waverly Rd, Apt. 1421 PORTER |
State: | IN |
Postal Code: | 463041476 |
Phone Number: | 7658609098 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2011 |
NPI Last Update Date: | 05/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002569A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |