Provider Demographics
NPI:1235585266
Name:JEFFREY N SHEFTS DC PC
Entity Type:Organization
Organization Name:JEFFREY N SHEFTS DC PC
Other - Org Name:APPLIED CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:SHEFTS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-346-1222
Mailing Address - Street 1:8500 N MOPAC EXPY
Mailing Address - Street 2:STE 401
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8375
Mailing Address - Country:US
Mailing Address - Phone:512-346-1222
Mailing Address - Fax:512-346-1270
Practice Address - Street 1:8500 N MOPAC EXPY
Practice Address - Street 2:STE 401
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8375
Practice Address - Country:US
Practice Address - Phone:512-346-1222
Practice Address - Fax:512-346-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX507632Medicare PIN