MEDICARE: DR. JOSHUA BREVICK JEFFERDS ND

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	172P00000X	Naprapath	1747	OR

General Provider Information

NPI Number	:	1487975553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSHUA BREVICK JEFFERDS ND

Provider Business Mailing Address
First Line	:	3808 AUBURN BLVD STE 41
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-2122
Country	:	US
Telephone Number	:	916-482-5200
Fax Number	:	916-482-5205

Provider Business Practice Location Address
First Line	:	3808 AUBURN BLVD STE 41
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-2122
Country	:	US
Telephone Number	:	916-482-5200
Fax Number	:

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

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	08/09/2022

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