Individual
DR. PAUL J SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3252 E MAIN ST, COLUMBUS, OH 43213-2738
(614) 237-2225
Mailing address
3252 E MAIN ST, COLUMBUS, OH 43213-2738
(614) 237-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0616775
—
OH
Enumeration date
12/14/2006
Last updated
11/30/2011
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