Individual
MR. SHAWN DANIEL KEEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
44355 PREMIER PLZ, SUITE 130, ASHBURN, VA 20147-5049
(703) 858-3500
(703) 858-9984
Mailing address
44355 PREMIER PLZ, SUITE 130, ASHBURN, VA 20147-5049
(703) 858-3500
(703) 858-9984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001716
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453947
ANTHEM BCBS
VA
01
—
541921903
PRIVATE INSURERS TAX ID
VA
Enumeration date
11/14/2006
Last updated
02/04/2014
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