Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Randy Joe Shallow, CHIROPRACTIC

Individual provider Chiropractor · NPI 1609906866

Dr. Randy Joe Shallow, CHIROPRACTIC is a Chiropractic in Dearborn, Michigan. Graduated from Life Chiropractic College in 1979, 47 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
47
Trained at
Life Chiropractic College
Licensed in
MI
In the registry since
2007
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Practice location Address checks out

24820 Michigan Ave
Dearborn, MI 48124-1713
Phone: (313) 277-3766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X (MI)

Record details

NPI number1609906866
Entity typeIndividual (Type 1)
GenderMale
Credentials CHIROPRACTIC
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Not indicated

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