Provider Demographics
NPI:1154864650
Name:SHAPLAND, JONATHON (DC)
Entity Type:Individual
Prefix:
First Name:JONATHON
Middle Name:
Last Name:SHAPLAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2510
Mailing Address - Country:US
Mailing Address - Phone:727-484-6940
Mailing Address - Fax:727-484-6942
Practice Address - Street 1:5303 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2510
Practice Address - Country:US
Practice Address - Phone:727-484-6940
Practice Address - Fax:727-484-6942
Is Sole Proprietor?:No
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor