Watson, Shannon Gerald

Watson, Shannon Gerald is an sole proprietor health care provider with primary practice located at 18103 Coastline Dr. #5 , Malibu CA 90265-5744. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Watson, Shannon Gerald can be contacted via phone (310) 774-6772.

Contact Information

Primary practice address
18103 Coastline Dr. #5 Malibu CA 90265-5744
Phone: (310) 774-6772
Fax: (310) 752-6068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 441212 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 31116 California

Profile Details

NPI number 1639343585
LBN Legal business name Watson, Shannon Gerald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Mar 30th, 2009 - 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.

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