Egan, Shawn Timothy
Egan, Shawn Timothy is an individual health care provider with primary practice located at 1310 W Eau Gallie Blvd Suite A, Melbourne FL 32935-5300. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Egan, Shawn Timothy can be contacted via phone (321) 254-3630.Contact Information
Primary practice address
1310 W Eau Gallie Blvd Suite A
Melbourne FL 32935-5300
Phone: (321) 254-3630
Fax: (321) 242-8176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0004130 | Florida |
Profile Details
| NPI number | 1952369357 |
|---|---|
| LBN Legal business name | Egan, Shawn Timothy |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952369357 | NPPES |
| Florida | MEDICAID | 38003440 |
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