Provider Demographics
NPI:1417206202
Name:SCHAFFFNER, JOE A (MS, ATP, CAPS)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:A
Last Name:SCHAFFFNER
Suffix:
Gender:M
Credentials:MS, ATP, CAPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 S DAVID ST
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-3737
Mailing Address - Country:US
Mailing Address - Phone:307-315-6035
Mailing Address - Fax:307-268-4704
Practice Address - Street 1:915 S DAVID ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-3737
Practice Address - Country:US
Practice Address - Phone:307-315-6035
Practice Address - Fax:307-268-4704
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment