| NPI | 1902970353 |
|---|---|
| Other Name | JACK F SHAUGHNESSY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NY x0004243-0) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: SC 3066) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |