Wanderaas, Shawn D

Wanderaas, Shawn D is an individual health care provider with primary practice located at 1134 Church Road , Southaven MS 38671. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wanderaas, Shawn D can be contacted via phone (662) 393-4848.

Contact Information

Primary practice address
1134 Church Road Southaven MS 38671
Phone: (662) 393-4848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1201 Mississippi

Profile Details

NPI number 1669790523
LBN Legal business name Wanderaas, Shawn D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2010
Last updated Mar 5th, 2013 - about 13 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.

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