Basic Information
| Provider Information | |||||||||
| NPI: | 1780676064 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHEFFEL | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | JAMES | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1287 | ||||||||
| Address2: | |||||||||
| City: | FORT BRAGG | ||||||||
| State: | CA | ||||||||
| PostalCode: | 954371287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7079371614 | ||||||||
| FaxNumber: | 7079372326 | ||||||||
| Practice Location | |||||||||
| Address1: | 45401 DRIFTERS REEF | ||||||||
| Address2: | |||||||||
| City: | MENDOCINO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7079371614 | ||||||||
| FaxNumber: | 7079372326 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | C0176830 | CA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 6577 | OK | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.