Provider Demographics
NPI:1396910345
Name:RONDEAU, SHENOA (BS, DC)
Entity type:Individual
Prefix:DR
First Name:SHENOA
Middle Name:
Last Name:RONDEAU
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W US HIGHWAY 64
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-2567
Mailing Address - Country:US
Mailing Address - Phone:336-243-5433
Mailing Address - Fax:336-243-5435
Practice Address - Street 1:215 W US HIGHWAY 64
Practice Address - Street 2:SUITE 1
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-2567
Practice Address - Country:US
Practice Address - Phone:336-243-5433
Practice Address - Fax:336-243-5435
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3875111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor