Provider Demographics
NPI:1689706285
Name:SHAIKEN, LOIS REGINA
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:REGINA
Last Name:SHAIKEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 BUSH ST
Mailing Address - Street 2:SUITE 2110
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104
Mailing Address - Country:US
Mailing Address - Phone:415-781-7100
Mailing Address - Fax:415-781-7514
Practice Address - Street 1:220 BUSH ST
Practice Address - Street 2:SUITE 2110
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104
Practice Address - Country:US
Practice Address - Phone:415-781-7100
Practice Address - Fax:415-781-7514
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0228500Medicare ID - Type Unspecified