SearchMichigan253J00000X

Jordan Shepler

NPI 1497156913 · on the registry since 2014 · sole proprietor

Practice

Address
2033 W Moorestown Rd
Lake City, MI 49651
Phone
(231) 229-4416
Organisation at this address
Season'S Of Life Afc Home, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
253J00000X
253J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan