Provider Demographics
NPI:1093778946
Name:SHEAFFER, STEVEN C (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:SHEAFFER
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 1:5100 SILVER STAR RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32808-4544
Mailing Address - Country:US
Mailing Address - Phone:407-298-2465
Mailing Address - Fax:407-298-2861
Practice Address - Street 1:5100 SILVER STAR RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32808-4544
Practice Address - Country:US
Practice Address - Phone:407-298-2465
Practice Address - Fax:407-298-2861
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22046Medicare ID - Type Unspecified
FLT84279Medicare UPIN