SHAE A DORAN D.C. CACCP NPI 1639342173

NPI Information

NPI: 1639342173
Provider Name: SHAE A DORAN, D.C., CACCP
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
5583 W WATERFORD LN
STE B
APPLETON, WI
ZIP 54913
Phone: (920) 419-1457
Get Directions

Shae A Doran, D.C., CACCP is a chiropractor in Appleton, WI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Shae A Doran, D.C., CACCP NPI is 1639342173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5583 W WATERFORD LN
STE B
APPLETON, WI
ZIP 54913
Phone: (920) 419-1457
Fax: (920) 243-0241

The enumeration date for this NPI number is 4/4/2008 and was last updated on 2/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NN1001X	Chiropractor	Nutrition	4205-012	WISCONSIN	No
2	111NP0017X	Chiropractor	Pediatric Chiropractor	4205-12	WISCONSIN	No
3	111N00000X	Chiropractor		4205-012	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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