Individual
SHAWN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2490 E 42ND AVE, ANCHORAGE, AK 99508-5206
(907) 561-4325
Mailing address
2490 E 42ND AVE, ANCHORAGE, AK 99508-5206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
189858
AK
111NR0400X
Rehabilitation Chiropractor
189858
AK
111NS0005X
Sports Physician Chiropractor
189858
AK
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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