Provider Demographics
NPI:1164685186
Name:JOSEPH L SCHAFFHAUSEN DOCTOR OF CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JOSEPH L SCHAFFHAUSEN DOCTOR OF CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAFFHAUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-368-7041
Mailing Address - Street 1:10115 FOLSOM BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-1937
Mailing Address - Country:US
Mailing Address - Phone:916-368-7041
Mailing Address - Fax:
Practice Address - Street 1:10115 FOLSOM BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-1937
Practice Address - Country:US
Practice Address - Phone:916-368-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15373261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty