Provider Demographics
NPI:1235569310
Name:SCHRAMM, JEFFREY (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:SCHRAMM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 S 900 E
Mailing Address - Street 2:41G
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4959
Mailing Address - Country:US
Mailing Address - Phone:801-747-2447
Mailing Address - Fax:801-716-3532
Practice Address - Street 1:4700 S 900 E
Practice Address - Street 2:41G
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4959
Practice Address - Country:US
Practice Address - Phone:801-747-2447
Practice Address - Fax:801-716-3532
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8770385-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor