MEDICARE: SHEITELMAN MEDICAL GLENDALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171100000X	Acupuncturist
2	225100000X	Physical Therapist
3	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1821602715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHEITELMAN MEDICAL GLENDALE

Provider Business Mailing Address
First Line	:	5128 W PEORIA AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-1618
Country	:	US
Telephone Number	:	623-214-7600
Fax Number	:	623-614-7662

Provider Business Practice Location Address
First Line	:	5128 W PEORIA AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-1618
Country	:	US
Telephone Number	:	623-214-7600
Fax Number	:	623-614-7662

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID SHEITELMAN
Credential	:	DC
Telephone Number	:	623-214-7600

Provider Enumeration Date	:	09/08/2020
Last Update Date	:	09/08/2020

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Directions to “SHEITELMAN MEDICAL GLENDALE ” Practice Location

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