Provider Demographics
NPI:1407076524
Name:SCHEFFER, DANIEL C (PT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:C
Last Name:SCHEFFER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48519-1455
Mailing Address - Country:US
Mailing Address - Phone:810-424-2007
Mailing Address - Fax:810-743-1099
Practice Address - Street 1:4901 TOWN CENTER RD
Practice Address - Street 2:STE 300
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2889
Practice Address - Country:US
Practice Address - Phone:989-498-5100
Practice Address - Fax:989-498-0197
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP45530032Medicare PIN
MIP45540032Medicare PIN