Provider Demographics
NPI:1619907292
Name:SHEPLER, ROBERT TODD (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TODD
Last Name:SHEPLER
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27225 CAMP PLENTY RD
Mailing Address - Street 2:STE 3
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-2654
Mailing Address - Country:US
Mailing Address - Phone:661-252-8802
Mailing Address - Fax:661-252-8597
Practice Address - Street 1:27225 CAMP PLENTY RD
Practice Address - Street 2:STE 3
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-2654
Practice Address - Country:US
Practice Address - Phone:661-252-8802
Practice Address - Fax:661-252-8597
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC13680Medicare PIN