Provider Demographics
NPI:1376846378
Name:SHUMAN, DAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAN
Middle Name:
Last Name:SHUMAN
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 1:100 6TH ST NE STE 150
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1370
Mailing Address - Country:US
Mailing Address - Phone:404-334-5001
Mailing Address - Fax:206-339-9054
Practice Address - Street 1:100 6TH ST NE STE 150
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1370
Practice Address - Country:US
Practice Address - Phone:404-334-5001
Practice Address - Fax:206-339-9054
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I356921OtherMEDICARE, PTAN