Jeff Holzworth Shaffer in Southport - Chiropractor

Jeff Holzworth Shaffer - NPI 1992766562

Jeff Holzworth Shaffer is a Chiropractor in Southport, North Carolina. Jeff Holzworth Shaffer practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeff Holzworth Shaffer is 1992766562. The last update date is 2019-05-01.

Jeff Holzworth Shaffer's current location address is 3960 Executive Park Blvd Ste 5, Southport, North Carolina. You can contact this provider via phone number 9104548100 and fax number 9104548101. The mailing address for Jeff Holzworth Shaffer is 3960 Executive Park Blvd Ste 5, Southport, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeff Holzworth Shaffer
Address 3960 Executive Park Blvd Ste 5, Southport, North Carolina
Phone Number 9104548100
Fax Number 9104548101
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1992766562
Provider Enumeration Date 2006-03-31
Last Updated Date 2019-05-01

Provider Mailing Address Detail

Address 3960 Executive Park Blvd Ste 5
City Southport
State North Carolina (NC)
Post Code 284618184
Phone Number 9104548100
Fax Number 9104548101

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2905
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89085AY NC --

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FAQs about Jeff Holzworth Shaffer

What is the unique 10-digit identification code assigned to Jeff Holzworth Shaffer by the Centers for Medicare & Medicaid Services?

The Jeff Holzworth Shaffer has been issued the NPI (National Provider Identifier) 1992766562, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Jeff Holzworth Shaffer's facilities are geographically located?

The facilities of Jeff Holzworth Shaffer are physically situated at the following location: 3960 Executive Park Blvd Ste 5, Southport, NC, 284618184.

What is Jeff Holzworth Shaffer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeff Holzworth Shaffer is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1992766562 to Jeff Holzworth Shaffer?

The Jeff Holzworth Shaffer received its 1992766562 assignment from the Centers for Medicare & Medicaid Services on 2006-03-31.

As of what date were the Jeff Holzworth Shaffer's details last updated?

The information pertaining to the Jeff Holzworth Shaffer, including its address, specialty, and other details, was most recently updated on 2019-05-01.

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