Provider Demographics
NPI:1083788228
Name:SCHAFER, NATHAN C (DC)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:C
Last Name:SCHAFER
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 1:4325 DAVISON RD
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2843
Mailing Address - Country:US
Mailing Address - Phone:214-542-5967
Mailing Address - Fax:
Practice Address - Street 1:92 W NEPESSING ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2144
Practice Address - Country:US
Practice Address - Phone:810-664-8852
Practice Address - Fax:810-664-8853
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor