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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JORDAN SHILTS

Deactivated Sole Proprietor

DR. JORDAN SHILTS is a Chiropractor healthcare provider located in EDINA, Minnesota. NPI 1750912291 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · EDINA, MN

This NPI has been deactivated. The record was deactivated on March 4, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1750912291
Provider Type
Individual
Gender
Male
NPI Issued
Feb 3, 2020 (0.081967213114754 yrs)
Last Updated
Sep 18, 2020
Deactivated
Mar 4, 2020
License
6704 (MN)
Sole Proprietor
Yes

Practice Information

Address
4820 W 77TH ST STE 150
EDINA, MN, 554354822
Browse MN providers · Browse ZIP 55435
Phone
9203232243
Primary Specialty
Chiropractor
111N00000X

Other Chiropractor Providers in EDINA, MN

Name Credential NPI
ROCHELLE L ROUGIER-MAAS DC 1447211875
MOLLY J MAGNANI DC 1528029717
DOUGLAS L PERNULA DC 1942261136
DR. CHRISTOPHER DOUGLAS JO D.C. 1649219262
DR. CARRIE ELLEN CLARK D.C. 1164461703
DR. DAVID ROSS PATTERSON D.C. 1972542553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.