Provider Demographics
NPI:1578623237
Name:SHIFLET, DONALD K (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:K
Last Name:SHIFLET
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 1:2060 E TANGERINE RD STE 182
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6251
Mailing Address - Country:US
Mailing Address - Phone:520-877-2666
Mailing Address - Fax:520-877-9183
Practice Address - Street 1:2060 E TANGERINE RD STE 182
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-6251
Practice Address - Country:US
Practice Address - Phone:520-877-2666
Practice Address - Fax:520-877-9183
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ317357Medicaid
AZU85249Medicare UPIN