Organization
SHAWN D KEEGAN P.C.
Active
Other names
keegan Chiropractic Sports & Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN D KEEGAN D.C. (PRESIDENT OWNER)
(703) 858-3500
Entity
Organization
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
—
1028511
AETNA HMO
VA
01
—
359084
ALLIANCE
VA
01
—
453947
ANTHEM BCBS
VA
01
—
5960597
AETNA PPO
VA
01
—
623895
NCPPO
VA
Enumeration date
11/20/2006
Last updated
05/18/2015
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