Individual ProviderShane Michael MillsChiropractorChiropractic ProvidersPractice Address300 W Carl Albert Pkwy, Mcalester, OK 74501-4419(918) 423-1879PECOS EnrollmentBased on the most recent information from CMS, provider Shane Michael Mills does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1134238769Provider TypeIndividualFull NameMills, Shane MichaelCredentialD.C.GenderMaleSole ProprietorNoEnumeration Date8/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address300 W Carl Albert Pkwy, Mcalester, OK 74501-4419Phone(918) 423-1879Fax(918) 423-2946Mailing LocationMailing Address300 W Carl Albert Pkwy, Mcalester, OK 74501-4419Phone(918) 423-1879Fax(918) 423-2946Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3189Oklahoma