Provider Demographics
NPI:1285059360
Name:ADAMS, SHAUN (DC)
Entity type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 KENNEBEC DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-2809
Mailing Address - Country:US
Mailing Address - Phone:717-552-2640
Mailing Address - Fax:717-263-2655
Practice Address - Street 1:1126 KENNEBEC DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-2809
Practice Address - Country:US
Practice Address - Phone:717-658-4003
Practice Address - Fax:717-263-2655
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor