Provider Demographics
NPI:1326585563
Name:SEMEGON, SHANE ARON (DC)
Entity Type:Individual
Prefix:DR
First Name:SHANE
Middle Name:ARON
Last Name:SEMEGON
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 1:323 AIRPORT RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5702
Mailing Address - Country:US
Mailing Address - Phone:334-246-2252
Mailing Address - Fax:334-521-7184
Practice Address - Street 1:323 AIRPORT RD
Practice Address - Street 2:SUITE E
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5702
Practice Address - Country:US
Practice Address - Phone:334-246-2252
Practice Address - Fax:334-521-7184
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor