Dr. Shannon Marie Broderson is a Kailua Kona, Hawaii based female chiropractor who is specialized as General Chiropractor. Active license number of Dr. Shannon Marie Broderson as General Chiropractor is DC977 in Hawaii. Dr. Shannon Marie Broderson is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Dr. Shannon Marie Broderson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Female
Practice Address:
74-5620 Palani Rd, Suite 102, Kailua Kona, Hawaii, 96740-3640
Phone:
808-329-7797
Fax:
808-329-2748
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1194888552
NPI Enumeration Date:
18 Dec, 2006
NPI Last Update On:
15 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannon Marie Broderson are as mentioned below.
License Number
Specialization
State
Status
DC977
Chiropractor
Hawaii
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shannon Marie Broderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
244327
Other
Hawaii
HMSA NUMBER
H56328
Other
Hawaii
P-TAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
74-5620 Palani Rd, Suite 102 Kailua Kona, Hawaii
Zip:
96740-3640
Phone Number:
808-329-7797
Fax Number:
808-329-2748
Patients can reach Dr. Shannon Marie Broderson at 74-5620 Palani Rd, Suite 102, Kailua Kona, Hawaii or can call to book an appointment on 808-329-7797. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.