Provider Demographics
NPI:1144232521
Name:PALA, SHAWN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:MICHAEL
Last Name:PALA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:14701 CUMBERLAND ROAD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060
Mailing Address - Country:US
Mailing Address - Phone:317-770-1970
Mailing Address - Fax:317-770-4386
Practice Address - Street 1:14701 CUMBERLAND RD
Practice Address - Street 2:SUITE 350
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-8712
Practice Address - Country:US
Practice Address - Phone:317-770-1970
Practice Address - Fax:317-770-4386
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002276A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor