Individual
SHAE A DORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., CACCP
Contact information
Practice address
5583 W WATERFORD LN, STE B, APPLETON, WI 54913
(920) 419-1457
(920) 243-0241
Mailing address
5583 W WATERFORD LN, STE B, APPLETON, WI 54913
(920) 419-1457
(920) 243-0241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4205-012
WI
111NN1001X
Nutrition Chiropractor
4205-012
WI
111NP0017X
Pediatric Chiropractor
4205-12
WI
Other
Enumeration date
04/04/2008
Last updated
02/25/2021
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