Provider Demographics
NPI:1922555465
Name:LOVER, SHAUNA (DC)
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:
Last Name:LOVER
Suffix:
Gender:F
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:PO BOX 711826
Mailing Address - Street 2:11-1491 ALA RD
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:HI
Mailing Address - Zip Code:96771-1826
Mailing Address - Country:US
Mailing Address - Phone:808-209-1856
Mailing Address - Fax:
Practice Address - Street 1:11-1491 ALA RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:HI
Practice Address - Zip Code:96771-1826
Practice Address - Country:US
Practice Address - Phone:808-209-1856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC1329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor