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Contact Information

SHANE A STAKER, D.C.
323 EAST MAIN STREET
WEST BRANCH, IA52358
 Phone: 319-643-5194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SHANE A STAKER · (Male)

NPI # 1588758338
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/03/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # DC28913
  • IA License # 06621
  • IA Medicaid 0473165
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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