Individual provider · Type 1 NPI
Shannon Gerald Watson, DC
Chiropractor · Malibu, CA
NPI number
1639343585
Active
Practice location
18103 Coastline Dr. #5
Malibu, CA 90265-5744
Fax (310) 752-6068
Mailing address
18103 Coastline Dr Apt 5
Malibu, CA 90265-5744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 441212 (WI) |
| Chiropractor | 111N00000X | 31116 (CA) |
Chiropractor: 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.
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About NPI 1639343585
Shannon Gerald Watson, DC's National Provider Identifier is 1639343585, issued on Apr 22, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Malibu, CA. The record was last updated on Mar 30, 2009.