Reif, Shad
Reif, Shad is an individual health care provider with primary practice located at 114 S Jackson Ave Ste 200 , Wylie TX 75098-3923. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Reif, Shad can be contacted via phone (972) 429-4677.Contact Information
Primary practice address
114 S Jackson Ave Ste 200
Wylie TX 75098-3923
Phone: (972) 429-4677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHR5938 | Colorado |
| Chiropractic Providers / Chiropractor | 111N00000X | 10581 | Texas |
Profile Details
| NPI number | 1396841664 |
|---|---|
| LBN Legal business name | Reif, Shad |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 30th, 2019 - about 7 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 | 1396841664 | NPPES |
| Colorado | Other | CHR5938 | COLORADO STATE LICENSE |
| Colorado | Other | 10581 | COLORADO STATE LICENSE |
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