Provider Demographics
NPI:1245041359
Name:STRATFOLD, SHANE (DC)
Entity type:Individual
Prefix:DR
First Name:SHANE
Middle Name:
Last Name:STRATFOLD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 GLOWING HEARTH LN
Mailing Address - Street 2:
Mailing Address - City:VILAS
Mailing Address - State:NC
Mailing Address - Zip Code:28692-8807
Mailing Address - Country:US
Mailing Address - Phone:480-652-4322
Mailing Address - Fax:
Practice Address - Street 1:330 W KING ST
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3543
Practice Address - Country:US
Practice Address - Phone:828-264-6474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5864111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor