Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 425 | CT |
NPI | 1053646323 |
---|---|
Provider Name | Dr. Shawn Morgan Carney |
First Address | Danbury, CT 06810-8368 |
Second Address | Newtown, CT 06470-1651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 26/12/2018 |