Healthcare Provider Details

I. General information

NPI: 1144232521
Provider Name (Legal Business Name): SHAWN MICHAEL PALA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 CUMBERLAND RD SUITE 350
NOBLESVILLE IN
46060-8712
US

IV. Provider business mailing address

14701 CUMBERLAND ROAD SUITE 350
NOBLESVILLE IN
46060
US

V. Phone/Fax

Practice location:
  • Phone: 317-770-1970
  • Fax: 317-770-4386
Mailing address:
  • Phone: 317-770-1970
  • Fax: 317-770-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002276A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: