Jeffrey Shawn Standifer in Dallas - Sports Physician

Jeffrey Shawn Standifer - NPI 1003821778

Jeffrey Shawn Standifer is a Sports Physician in Dallas, Texas. Jeffrey Shawn Standifer practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jeffrey Shawn Standifer is 1003821778. The last update date is 2008-12-12.

Jeffrey Shawn Standifer's current location address is Po Box 211251, Dallas, Texas. You can contact this provider via phone number 2146230505 and fax number 2146230520. The mailing address for Jeffrey Shawn Standifer is Po Box 211251, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Shawn Standifer
Address Po Box 211251, Dallas, Texas
Phone Number 2146230505
Fax Number 2146230520
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1003821778
Provider Enumeration Date 2006-07-30
Last Updated Date 2008-12-12

Provider Mailing Address Detail

Address Po Box 211251
City Dallas
State Texas (TX)
Post Code 752114304
Phone Number 2146230505
Fax Number 2146230520

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 8482
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
106750 TX AMERIGROUP
146332501 TX --
10862 TX PARKLAND
7691324 TX AETNA
8B8920 TX BLUE CROSS BLUE SHIELD

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FAQs about Jeffrey Shawn Standifer

What is the Jeffrey Shawn Standifer's 1003821778?

The Jeffrey Shawn Standifer's NPI (National Provider Identifier) Number is 1003821778. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeffrey Shawn Standifer is physically located?

The Jeffrey Shawn Standifer is physically situated at the following address: Po Box 211251, Dallas, TX, 752114304.

What is Jeffrey Shawn Standifer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeffrey Shawn Standifer is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

When did Jeffrey Shawn Standifer receive its 1003821778 assignment?

The Jeffrey Shawn Standifer was assigned its 1003821778 on 2006-07-30, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Jeffrey Shawn Standifer last refreshed?

The information related to the Jeffrey Shawn Standifer, including its address, specialty, and other relevant details, was last updated on 2008-12-12.

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