Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | MA60393087 | WA |
NPI | 1033538715 |
---|---|
Provider Name | Shawn Cahill |
First Address | Spokane, WA 99217 |
Second Address | Spokane, WA 29901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 10/04/2014 |