Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | B01606 | NV |
NPI | 1053760082 |
---|---|
Provider Name | Dr. Shawn Patrick Casey |
First Address | Las Vegas, NV 89128-0453 |
Second Address | Las Vegas, NV 89128-0453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2016 |
Last Update Date | 09/06/2016 |