MEDICARE: DR. ELAINE T JEFFERS D.C.

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	2233	SC
2	111N00000X	Chiropractor	3745	KY
3	111N00000X	Chiropractor	2022	CO
4	111N00000X	Chiropractor	968	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730158296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELAINE T JEFFERS D.C.

Provider Business Mailing Address
First Line	:	14 NEW ORLEANS RD
Second Line	:	SUITE 4
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-4777
Country	:	US
Telephone Number	:	843-842-7575
Fax Number	:	843-842-7676

Provider Business Practice Location Address
First Line	:	14 NEW ORLEANS RD
Second Line	:	SUITE 4
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-4777
Country	:	US
Telephone Number	:	843-842-7575
Fax Number	:	843-842-7676

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

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	09/29/2011

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