Standifer, Jeffrey Shawn
Standifer, Jeffrey Shawn is an individual health care provider with primary practice located at 3314 W Kiest Blvd , Dallas TX 75233-2102. He recently has 7 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Nutrition, Chiropractic Providers / Orthopedic, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Radiology, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Standifer, Jeffrey Shawn can be contacted via phone (214) 623-0505.Contact Information
Primary practice address
3314 W Kiest Blvd
Dallas TX 75233-2102
Phone: (214) 623-0505
Fax: (214) 623-0520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 8482 | Texas |
| Chiropractic Providers / Nutrition | 111NN1001X | 8482 | Texas |
| Chiropractic Providers / Orthopedic | 111NX0800X | 8482 | Texas |
| Chiropractic Providers / Pediatric Chiropractor | 111NP0017X | 8482 | Texas |
| Chiropractic Providers / Radiology | 111NR0200X | 8482 | Texas |
| Chiropractic Providers / Rehabilitation | 111NR0400X | 8482 | Texas |
| Chiropractic Providers / Sports Physician | 111NS0005X | 8482 | Texas |
Profile Details
| NPI number | 1003821778 |
|---|---|
| LBN Legal business name | Standifer, Jeffrey Shawn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Dec 12th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003821778 | NPPES |
| Texas | Other | 106750 | AMERIGROUP |
| Texas | MEDICAID | 146332501 | AMERIGROUP |
| Texas | Other | 10862 | AMERIGROUP |
| Texas | Other | 7691324 | AMERIGROUP |
| Texas | Other | 8B8920 | AMERIGROUP |
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