MEDICARE: JORDAN SHEFFER DC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8889	AZ

General Provider Information

NPI Number	:	1386278943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN SHEFFER DC

Provider Business Mailing Address
First Line	:	2292 W MAGEE RD STE 170
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4302
Country	:	US
Telephone Number	:	520-797-2922
Fax Number	:	520-742-0732

Provider Business Practice Location Address
First Line	:	2292 W MAGEE RD STE 170
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-4302
Country	:	US
Telephone Number	:	520-797-2922
Fax Number	:	520-742-0732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2020
Last Update Date	:	02/24/2020

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Directions to “ JORDAN SHEFFER DC” Practice Location

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