Provider Demographics
NPI:1043262884
Name:SHEPPARD PRECISION CHIROPRACTIC
Entity Type:Organization
Organization Name:SHEPPARD PRECISION CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SHEPPARD-ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:405-378-3100
Mailing Address - Street 1:10420 GREENBRIAR PARKWAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159
Mailing Address - Country:US
Mailing Address - Phone:405-378-3100
Mailing Address - Fax:405-378-3144
Practice Address - Street 1:10420 GREENBRIAR PARKWAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159
Practice Address - Country:US
Practice Address - Phone:405-378-3100
Practice Address - Fax:405-378-3144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty