Provider Demographics
NPI:1205914413
Name:MCFARLAND, SHALONA J (DC)
Entity type:Individual
Prefix:
First Name:SHALONA
Middle Name:J
Last Name:MCFARLAND
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 1:316 HIGHWAY 6 AND 50 STE B
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2642
Mailing Address - Country:US
Mailing Address - Phone:970-858-0544
Mailing Address - Fax:970-858-7749
Practice Address - Street 1:731 BOOKCLIFF AVE # C
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-8107
Practice Address - Country:US
Practice Address - Phone:970-256-7454
Practice Address - Fax:970-256-7453
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO653180OtherBCBS
COU781161Medicare UPIN
CO653180OtherBCBS