Provider Demographics
NPI:1053646323
Name:CARNEY, SHAWN MORGAN (ND)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:MORGAN
Last Name:CARNEY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 POST RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-8368
Mailing Address - Country:US
Mailing Address - Phone:203-947-2412
Mailing Address - Fax:800-957-5421
Practice Address - Street 1:19 CHURCH HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1651
Practice Address - Country:US
Practice Address - Phone:800-723-2962
Practice Address - Fax:800-957-5421
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT425175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath