Individual provider · Type 1 NPI
Shannon Nichole Black, DC
Chiropractor · Colorado Springs, CO
Practice location
3803 Palmer Park Blvd, Suite B
Colorado Springs, CO 80909-2600
Fax (719) 634-4538
Mailing address
3669 Rebecca Ln, Apt A
Colorado Springs, CO 80917-5084
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 6689 (CO) |
Chiropractor: 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.
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About NPI 1134413438
Shannon Nichole Black, DC's National Provider Identifier is 1134413438, issued on Jun 3, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 3, 2011.