Provider Demographics
NPI:1497848220
Name:BEK, SHAWN ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:ADAM
Last Name:BEK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SHAWN
Other - Middle Name:ADAM
Other - Last Name:BEKERMUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:480 S CALIFORNIA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1623
Mailing Address - Country:US
Mailing Address - Phone:650-321-7193
Mailing Address - Fax:650-327-2017
Practice Address - Street 1:480 S CALIFORNIA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1623
Practice Address - Country:US
Practice Address - Phone:650-321-7193
Practice Address - Fax:650-327-2017
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 29749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor