| Dr Connor Shannon, DC | |
|
545 Spring St, Friday Harbor, WA 98250-8057 | |
| (360) 378-5660 | |
| Not Available |
| Full Name | Dr Connor Shannon |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 545 Spring St, Friday Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457063505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH61599467 (Washington) | Primary |
| Provider Name | Milwaukie Spine And Sport, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679850010 PECOS PAC ID: 0446661730 Enrollment ID: O20201117001508 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Connor Shannon, DC 545 Spring St, Friday Harbor, WA 98250-8057 Ph: (360) 378-5660 | Dr Connor Shannon, DC 545 Spring St, Friday Harbor, WA 98250-8057 Ph: (360) 378-5660 |
Jerry Wickman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 774 Mullis St Ste A, Friday Harbor, WA 98250 Phone: 360-370-5500 Fax: 360-370-5514 | |
Dr. Patricia Hansen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 321 Price St, Friday Harbor, WA 98250 Phone: 360-378-3537 Fax: 360-378-3582 | |
Mr. Mark Wheeler Earnhart, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 545 Spring Street, Friday Harbor, WA 98250 Phone: 360-378-5660 Fax: 360-378-9556 |