Provider Demographics
NPI:1295860021
Name:CARON, SHAYLA S (DC)
Entity type:Individual
Prefix:DR
First Name:SHAYLA
Middle Name:S
Last Name:CARON
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 1:1005 OSGOOD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-1501
Mailing Address - Country:US
Mailing Address - Phone:978-476-6301
Mailing Address - Fax:
Practice Address - Street 1:1005 OSGOOD ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-1501
Practice Address - Country:US
Practice Address - Phone:978-965-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2935111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1304216OtherCIGNA
672509OtherUNITED
MAY39863OtherBCBSMA
5619486OtherCOVENTRY
MA9755161Medicaid
AA39431OtherHARVARD PILGRIM
NH05Y008175MA01OtherANTHEM
5619486OtherCOVENTRY
MA9755161Medicaid