Provider Demographics
NPI:1548431851
Name:SCHAEFFER, JOHN P III (DC,DABCN)
Entity Type:Individual
Prefix:PROF
First Name:JOHN
Middle Name:P
Last Name:SCHAEFFER
Suffix:III
Gender:M
Credentials:DC,DABCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 N SWALLOWTAIL DR
Mailing Address - Street 2:APT 106
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-9623
Mailing Address - Country:US
Mailing Address - Phone:386-852-6090
Mailing Address - Fax:
Practice Address - Street 1:1010 N SWALLOWTAIL DR
Practice Address - Street 2:APT 106
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-9623
Practice Address - Country:US
Practice Address - Phone:386-852-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9494111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology