Provider Demographics
NPI:1922327899
Name:MCCANN, SHANE FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:SHANE
Middle Name:FRANCIS
Last Name:MCCANN
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 1:2433 CHURCH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1243
Mailing Address - Country:US
Mailing Address - Phone:856-330-4144
Mailing Address - Fax:856-547-6995
Practice Address - Street 1:2433 CHURCH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1243
Practice Address - Country:US
Practice Address - Phone:856-330-4144
Practice Address - Fax:856-547-6995
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00683500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor