SHAKLEY CHIROPRACTIC AND WELLNESS CENTER LLC (NPI# 1164813614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164813614 |
| Entity Type | Organization |
| Organization Name | SHAKLEY CHIROPRACTIC AND WELLNESS CENTER LLC |
| Practice Address |
844 West St Ste 100 Annapolis MD 21401-3602 |
| Practice Telephone | 4102634171 |
| Practice Fax Number | 4102634275 |
| Mailing Telephone | 4102634171 |
| Mailing Fax Number | 4102634275 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | DR. RYAN DALE SHAKLEY (DOCTOR/OWNER) |
| Authorized Official Telephone | 4102518572 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | S03565 | MD | Ambulatory Health Care Facilities |
| Street Address |
844 WEST ST STE 100 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1023111804 | Premier Mri Services LLC | Clinic/Center | 107 Ridgley Ave, Suite 12, Annapolis, MD 21401 | 2006-09-06 |
| 1023546116 | Annapolis Psychological Services, LLC | Clinic/Center | 512 State St, Annapolis, MD 21403-3239 | 2017-06-01 |
| 1518404052 | Annapolis Nephrology, LLC | Clinic/Center | 104 Forbes St, Ste 102, Annapolis, MD 21401-1516 | 2017-01-23 |
| 1194194993 | Tms Neurohealth Centers Annapolis LLC | Clinic/Center | 900 Bestgate Rd, Suite 102, Annapolis, MD 21401-3089 | 2015-09-22 |
| 1306244587 | Adolsecent & Family Svcs/addictions | Clinic/Center | 3 Harry S Truman Pkwy, Annapolis, MD 21401-7031 | 2014-12-19 |
| 1902175128 | Adolescent and Family Services/addictions | Clinic/Center | 3 Harry S Truman Pkwy, Hd#19, Annapolis, MD 21401-7031 | 2011-12-16 |
| 1619128436 | Annapolis Audiology Hearing Center, Inc. | Clinic/Center | 116 Defense Hwy, Suite 200, Annapolis, MD 21401-7027 | 2008-10-10 |
| 1477766517 | Tlc The Laser Center (annapolis) Inc. | Clinic/Center | 888 Bestgate Rd, Ste. 300, Annapolis, MD 21401-3091 | 2007-05-07 |
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| 1750991121 | Global Center for Autism Services, LLC | Clinic/Center | 4485 Forbes Blvd, Lanham, MD 20706-4354 | 2020-07-31 |
| 1497384945 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 8101 Sandy Spring Rd Ste 300-e6, Laurel, MD 20707-3596 | 2020-04-06 |
| 1215565957 | Red Canyon, LLC | Clinic/Center | 7402 York Rd Ste 104, Towson, MD 21204-7519 | 2020-03-30 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.