# SHANNAN CHIROPRACTIC CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Worthington Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649302258
- **Authorized official:** KEVIN J SHANNAN I DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (614) 848-5211

## Contact information

- **Practice address:** 6180 LINWORTH RD, WORTHINGTON, OH 43085-2812
- **Practice address phone:** (614) 848-5211
- **Practice address fax:** (614) 848-0392
- **Mailing address:** 6180 LINWORTH RD, WORTHINGTON, OH 43085-2812
- **Mailing address phone:** (614) 848-5211
- **Mailing address fax:** (614) 848-0392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1297 | OH | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 01/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 311201162 | ANTHEM | — |
| 01 | — | 311201162-00 | WORKERS COMP | OH |
