Shayne Andrew Javersak | Mcalester, OK • PECOS Search

Shayne Andrew Javersak

Chiropractor

Chiropractic Providers

1501 Wade Watts Ave, Mcalester, OK 74501

PECOS Enrollment

Based on the most recent information from CMS, provider Shayne Andrew Javersak does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1376628297
Provider Type
Individual
Full Name
Javersak, Shayne Andrew
Title
Dr.
Credential
BS, DC

Gender
Male
Sole Proprietor
No
Enumeration Date
10/26/2006
Last Updated
8/11/2010

Contact Information

Practice Location

1501 Wade Watts Ave, Mcalester, OK 74501

(877) 310-9896

Mailing Location

1501 Wade Watts Ave, Mcalester, OK 74501

(877) 310-9896

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 3488 Oklahoma