Provider Demographics
NPI:1538465430
Name:SHEPPARD CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:SHEPPARD CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-753-7246
Mailing Address - Street 1:3878 MCMANN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-2347
Mailing Address - Country:US
Mailing Address - Phone:513-753-7246
Mailing Address - Fax:513-753-7517
Practice Address - Street 1:3878 MCMANN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-2347
Practice Address - Country:US
Practice Address - Phone:513-753-7246
Practice Address - Fax:513-753-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty