Provider Demographics
NPI:1366509184
Name:SCHACHTER, STEVEN B (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:SCHACHTER
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 1:4770 NW 21ST ST
Mailing Address - Street 2:SUITE 4P
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-3564
Mailing Address - Country:US
Mailing Address - Phone:954-558-0639
Mailing Address - Fax:954-236-9158
Practice Address - Street 1:12200 W BROWARD BLVD
Practice Address - Street 2:SUITE 7102
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33325-2404
Practice Address - Country:US
Practice Address - Phone:954-558-0639
Practice Address - Fax:954-236-9158
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU75815Medicare UPIN
FL00055645Medicare ID - Type Unspecified