What is Shannon Hawk's NPI number?

The NPI number assigned to this healthcare provider is 1417377748, enumerated as a individual on April 25, 2014.

Where is the provider located?

The provider is located at 9811 MALLARD DR STE 218 LAUREL, MD 20708 and the phone number is (301) 953-0256.

What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

SHANNON M HAWK D.C. - NPI 1417377748 - Chiropractor in Laurel, MD

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About Shannon M Hawk D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON M HAWK D.C. (NPI 1417377748) is an individual chiropractor in Laurel, Maryland, licensed in Maryland (S03784) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1417377748

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameSHANNON M HAWKCredential: D.C.

Location Address9811 MALLARD DR, STE 218Laurel, MD 20708-3143

Mailing Address9811 Mallard Dr, Ste 218Laurel, MD 20708-3143 · (301) 953-0256 · Fax (301) 604-2097

Phone(301) 953-0256

Fax(301) 604-2097

Sole ProprietorNo

Enumeration DateApril 25, 2014

✔ NPI 1417377748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MD · S03784

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

9811 MALLARD DR, Laurel, MD 20708

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