Provider Demographics
NPI:1629663984
Name:SHAEFFER CHIROPRACTIC CLINIC PLLC
Entity Type:Organization
Organization Name:SHAEFFER CHIROPRACTIC CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-263-1620
Mailing Address - Street 1:42202 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1647
Mailing Address - Country:US
Mailing Address - Phone:586-263-1620
Mailing Address - Fax:586-263-5965
Practice Address - Street 1:42202 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1647
Practice Address - Country:US
Practice Address - Phone:586-263-1620
Practice Address - Fax:586-263-5965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty