Provider Demographics
NPI:1447478946
Name:SCHEUERMANN, JEFF L (DC)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:L
Last Name:SCHEUERMANN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 ROBERT BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-1646
Mailing Address - Country:US
Mailing Address - Phone:985-847-1999
Mailing Address - Fax:985-847-1909
Practice Address - Street 1:574 ROBERT BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-1646
Practice Address - Country:US
Practice Address - Phone:985-847-1999
Practice Address - Fax:985-847-1909
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1935930Medicaid
LA1935930Medicaid