Provider Demographics
NPI:1629322672
Name:MCLAIN, SHAUNA KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:KAY
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHAUNA
Other - Middle Name:KAY
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:981 ASHLAND RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44905-2141
Mailing Address - Country:US
Mailing Address - Phone:419-709-9511
Mailing Address - Fax:419-709-9424
Practice Address - Street 1:981 ASHLAND RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44905-2141
Practice Address - Country:US
Practice Address - Phone:419-747-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4305111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor