| Dr Shane A Staker, DC | |
|
323 East Main Street, West Branch, IA 52358 | |
| (319) 643-5194 | |
| Not Available |
| Full Name | Dr Shane A Staker |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 323 East Main Street, West Branch, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588758338 | NPI | - | NPPES |
| 0473165 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 06621 (Iowa) | Primary |
| 111N00000X | Chiropractor | DC28913 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane A Staker, DC P.o. Box 459, West Branch, IA 52358 Ph: (319) 643-5194 | Dr Shane A Staker, DC 323 East Main Street, West Branch, IA 52358 Ph: (319) 643-5194 |
Edward C Wallace, D.C.,N.D. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5305 Herbert Hoover Hwy Ne, West Branch, IA 52358 Phone: 319-643-5942 Fax: 319-643-5942 | |
Dr. Tanya R English, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 410 N 4th St, West Branch, IA 52358 Phone: 319-325-4325 |