=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992123624
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW HORIZON NATURAL MEDICINE, SHAUN T. ADAMS DC, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2014
-----------------------------------------------------
Last Update Date | 03/31/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 70 PARKWOOD DR
-----------------------------------------------------
City | CHAMBERSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17201-4501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-496-8301
-----------------------------------------------------
Fax | 717-496-8426
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 70 PARKWOOD DR
-----------------------------------------------------
City | CHAMBERSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17201-4501
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-496-8301
-----------------------------------------------------
Fax | 717-496-8426
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. SHAUN T ADAMS
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 717-496-8301
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | DC010854
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------