Provider Demographics
NPI:1609155167
Name:TAUBER, SHELDON BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:BRIAN
Last Name:TAUBER
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 1:4571 W FLINT ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-2999
Mailing Address - Country:US
Mailing Address - Phone:480-200-3899
Mailing Address - Fax:480-668-3489
Practice Address - Street 1:4571 W FLINT ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-2999
Practice Address - Country:US
Practice Address - Phone:480-200-3899
Practice Address - Fax:480-668-3489
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor