Provider Demographics
NPI:1144326190
Name:SCHIFFERLI, JULIE ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:SCHIFFERLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:REBHOLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3088 N ROBERT RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-8429
Mailing Address - Country:US
Mailing Address - Phone:928-775-0522
Mailing Address - Fax:928-775-5922
Practice Address - Street 1:3088 N ROBERT RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-8429
Practice Address - Country:US
Practice Address - Phone:928-775-0522
Practice Address - Fax:928-775-5922
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ70965Medicare PIN
V84776Medicare UPIN