Individual provider · Type 1 NPI
Shannon Lee Nierman, DC
Chiropractor · Fort Wayne, IN
NPI number
1598081440
Active
Practice location
6320 Constitution Dr
Fort Wayne, IN 46804-1518
Mailing address
3007 Shawnee Dr
Fort Wayne, IN 46807-1443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 08002640A (IN) |
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 1598081440
Shannon Lee Nierman, DC's National Provider Identifier is 1598081440, issued on Apr 18, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 13, 2012.