Individual provider · Type 1 NPI

Brian M. Shannon, DC

Chiropractor · Wyckoff, NJ

NPI number 1942352877 Active

Practice location

260 Godwin Ave, Suite 1
Wyckoff, NJ 07481-5200

Call (201) 891-1155 Map

Fax (201) 891-5522

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00412700 (NJ)

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 1942352877

Brian M. Shannon, DC's National Provider Identifier is 1942352877, issued on Jan 18, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Wyckoff, NJ. The record was last updated on Jul 8, 2007.