Provider Demographics
NPI:1629164546
Name:WOODRUFF, JEFFREY SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:WOODRUFF
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 1:1223 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9803
Mailing Address - Country:US
Mailing Address - Phone:717-879-9910
Mailing Address - Fax:717-879-9912
Practice Address - Street 1:1223 LANCASTER RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-9803
Practice Address - Country:US
Practice Address - Phone:717-879-9910
Practice Address - Fax:717-879-9912
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011484111N00000X
AL1993111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL200123662OtherALL OTHER INSURANCE
AL51517785OtherBCBS
PA825083672OtherALL OTHER INSURANCE