Provider Demographics
NPI:1215988985
Name:BURNS, SHAWN ELIZABETH (DC)
Entity type:Individual
Prefix:MISS
First Name:SHAWN
Middle Name:ELIZABETH
Last Name:BURNS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SHAWN
Other - Middle Name:ELIZABETH
Other - Last Name:BURNS-TEETER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5825 AVENIDA ENCINAS STE 107
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-4401
Mailing Address - Country:US
Mailing Address - Phone:760-492-3222
Mailing Address - Fax:
Practice Address - Street 1:5825 AVENIDA ENCINAS STE 107
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-4401
Practice Address - Country:US
Practice Address - Phone:760-492-3222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor