Bruce C Shawhan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3204 Issued in WI

Practice address

3805 B Spring Street
Racine, WI 53405-1644

Phone

(262) 560-0090

Fax

(262) 687-6107

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1225085293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 B SPRING STREET",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051644",
            "telephone_number": "262-687-8322",
            "fax_number": "262-687-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 B SPRING STREET",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534051644",
            "telephone_number": "262-560-0090",
            "fax_number": "262-687-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWHAN",
        "first_name": "BRUCE",
        "middle_name": "C",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "391846294018",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wali Khateeb Shakoor-Luqman I, RN
• Laura Shanafelt, PHARMD
• Vijayashree P Shankar
• Molly J Sharp, MS, CCC-SLP
• Melissa Sharpe, PTA
• Khurram Shehzad, PHARMD
• Liang Shen
• Gary L Shepherdson, MD
• Sheriff Chiropractic, LLC
• Scott Thomas Sheriff, D.C.

• Chiropractor in Racine, WI
• Providers in Racine, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.