Provider Demographics
NPI:1538942107
Name:SHAWSOK LLC
Entity type:Organization
Organization Name:SHAWSOK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:SHANNON
Authorized Official - Last Name:LEONHARD
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNTARIST
Authorized Official - Phone:904-710-1887
Mailing Address - Street 1:265 MILL ST STE 500
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6179
Mailing Address - Country:US
Mailing Address - Phone:301-712-3342
Mailing Address - Fax:240-420-8600
Practice Address - Street 1:265 MILL ST STE 500
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6179
Practice Address - Country:US
Practice Address - Phone:301-712-3342
Practice Address - Fax:240-420-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty