Provider Demographics
NPI:1366633687
Name:CHRISTOPHER J SCHAUFLER
Entity Type:Organization
Organization Name:CHRISTOPHER J SCHAUFLER
Other - Org Name:SCHAUFLER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHAUFLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-355-3003
Mailing Address - Street 1:729 GROVE AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-6008
Mailing Address - Country:US
Mailing Address - Phone:215-355-3003
Mailing Address - Fax:215-355-3309
Practice Address - Street 1:729 GROVE AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-6008
Practice Address - Country:US
Practice Address - Phone:215-355-3003
Practice Address - Fax:215-355-3309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V04195Medicare UPIN
088958Medicare PIN