Dr. Brian M Shannon, DC
Chiropractor in Wyckoff, New Jersey
1942352877- Practice location
- 260 Godwin Ave, Suite 1, Wyckoff, NJ 07481-5200
- Phone
- 201-891-1155
- Fax
- 201-891-5522
- Last updated
- July 8, 2007
Brian M Shannon is a Chiropractor based in Wyckoff, NJ. Brian M Shannon practices in Wyckoff, NJ and has the professional credentials of DC. The NPI Number for Brian M Shannon is 1942352877 and holds a License No. 38MC00412700 (NJ). The current practice location address for Brian M Shannon is 260 Godwin Ave, Suite 1, Wyckoff, NJ 07481-5200 and can be reached out via phone at 201-891-1155 and via fax at 201-891-5522.
Provider Profile Details
- NPI Number
- 1942352877
- Provider Name
- Brian M Shannon
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 260 Godwin Ave, Suite 1, Wyckoff, NJ 07481-5200
- Phone Number
- 201-891-1155
- Fax Number
- 201-891-5522
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 18, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 260 Godwin Ave
Suite 1
Wyckoff, NJ 07481-5200 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-5200
- Phone Number
- 201-891-1155
- Fax Number
- 201-891-5522
Provider Business Mailing Address Details
- Address
- 260 Godwin Ave
Suite 1
Wyckoff, NJ 07481-5200 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-5200
- Phone Number
- 201-891-1155
- Fax Number
- 201-891-5522
License Information
- License Number
- 38MC00412700
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Brian M Shannon, DC?
The NPI number of Dr. Brian M Shannon, DC is 1942352877. It was assigned on January 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Brian M Shannon, DC?
Dr. Brian M Shannon, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00412700.
Where does Dr. Brian M Shannon, DC practice?
The practice location is 260 Godwin Ave, Suite 1, Wyckoff, NJ 07481-5200. The office can be reached at 201-891-1155 (phone) or 201-891-5522 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942352877 directly on the NPPES registry website.