Provider Demographics
NPI:1366054561
Name:SHAWN HANSON DC, PA
Entity type:Organization
Organization Name:SHAWN HANSON DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-212-1902
Mailing Address - Street 1:1883 S PINELLAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-1944
Mailing Address - Country:US
Mailing Address - Phone:727-937-6740
Mailing Address - Fax:727-942-3701
Practice Address - Street 1:1883 S PINELLAS AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-1944
Practice Address - Country:US
Practice Address - Phone:727-937-6740
Practice Address - Fax:727-942-3701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS-ON HEALTH CARE AND CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty