RICHARD D SHADE JR. DC

EAST GREENBUSH CHIROPRACTIC PLLC

Dr RICHARD D SHADE JR. DC is a male medical professional, specializing in Chiropractic. He graduated in 1995 from Sherman College Of Straight Chiropractic.

Contact

EAST GREENBUSH CHIROPRACTIC PLLC

569 COLUMBIA TPKE
EAST GREENBUSH
NY
120611621

Tel: 5184775000

RICHARD D SHADE JR. DC Information

Npi 1326148313
Pac Id 5294796488
Professional Enrollment Id I20090330000655
Last Name SHADE
First Name RICHARD
Middle Name D
Suffix JR.
Gender M
Credential DC
Medical School Name SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Graduation Year 1995
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAST GREENBUSH CHIROPRACTIC PLLC
Group Practice Pac Id 8820341605
Number Of Group Practice Members 2
Line 1 Street Address 569 COLUMBIA TPKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAST GREENBUSH
State NY
Zip Code 120611621
Phone Number 5184775000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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