Healthcare Provider Details
I. General information
NPI: 1538112693
Provider Name (Legal Business Name): SHAWN MICHAEL NEFF D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/18/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1244 CRUSHED APPLE DR
MARTINSBURG WV
25403-7600
US
IV. Provider business mailing address
1244 CRUSHED APPLE DR
MARTINSBURG WV
25403-7600
US
V. Phone/Fax
- Phone: 681-242-9592
- Fax:
- Phone: 681-242-9592
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NX0800X |
| Taxonomy | Orthopedic Chiropractor |
| License Number | 1038 |
| License Number State | WV |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC009020 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: