Provider Demographics
NPI:1376727313
Name:SCHAAF CHIROPRACTIC LTD
Entity Type:Organization
Organization Name:SCHAAF CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SCHAAF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-426-4501
Mailing Address - Street 1:4534 S. STATE ROUTE #4
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:OH
Mailing Address - Zip Code:44807-0101
Mailing Address - Country:US
Mailing Address - Phone:419-426-4501
Mailing Address - Fax:419-426-4901
Practice Address - Street 1:4534 S. S. R. #4
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:OH
Practice Address - Zip Code:44807
Practice Address - Country:US
Practice Address - Phone:419-426-4501
Practice Address - Fax:419-426-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1814111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9334761Medicare PIN
OHDA1265Medicare PIN