JEREMIAH M SHAFT DC PLLC NPI 1972219822

NPI Information

NPI: 1972219822
Provider Name: JEREMIAH M SHAFT DC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
28404 5 MILE RD
LIVONIA, MI
ZIP 48154
Phone: (734) 261-2121
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JEREMIAH M SHAFT DC PLLC is a chiropractor in Livonia, MI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. JEREMIAH M SHAFT DC PLLC NPI is 1972219822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28404 5 MILE RD
LIVONIA, MI
ZIP 48154-824
Phone: (734) 261-2121

The provider's authorized official is Jeremiah Michael Shaft .
The authorized official title is President and has the following contact phone number (248) 231-9650.

The enumeration date for this NPI number is 1/24/2023 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	950H232540	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD OF MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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