Provider Demographics
NPI:1851577878
Name:RINOW, SHAUN EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:EDWARD
Last Name:RINOW
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 BIDDLE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3981
Mailing Address - Country:US
Mailing Address - Phone:302-595-2344
Mailing Address - Fax:302-595-2134
Practice Address - Street 1:100 BIDDLE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3981
Practice Address - Country:US
Practice Address - Phone:302-595-2344
Practice Address - Fax:302-595-2134
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000629111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1295158129OtherPRACTICE NPI
DE1851577818OtherINDIVIDUAL NPI