Healthcare Provider Details

I. General information

NPI: 1053646323
Provider Name (Legal Business Name): SHAWN MORGAN CARNEY N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 12/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CHURCH HILL RD SUITE 1
NEWTOWN CT
06470-1651
US

IV. Provider business mailing address

131 POST RD
DANBURY CT
06810-8368
US

V. Phone/Fax

Practice location:
  • Phone: 800-723-2962
  • Fax: 800-957-5421
Mailing address:
  • Phone: 203-947-2412
  • Fax: 800-957-5421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number425
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: