Provider Demographics
NPI:1235212671
Name:SHEFTS, JANET L (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:SHEFTS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 BROADWAY
Mailing Address - Street 2:SUITE 715
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-7603
Mailing Address - Country:US
Mailing Address - Phone:212-873-8400
Mailing Address - Fax:212-362-0119
Practice Address - Street 1:1841 BROADWAY
Practice Address - Street 2:SUITE 715
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7603
Practice Address - Country:US
Practice Address - Phone:212-873-8400
Practice Address - Fax:212-362-0119
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2014-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004663-1111N00000X
FLCH 5403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX3018(1)Medicare ID - Type Unspecified