Provider Demographics
NPI:1255585402
Name:ALLEN, SHAWN ROBIN (DC)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:ROBIN
Last Name:ALLEN
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 1:2126 N EAGLE RD
Mailing Address - Street 2:#120
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-6405
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2126 N EAGLE RD
Practice Address - Street 2:#120
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-6405
Practice Address - Country:US
Practice Address - Phone:208-391-3534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor