Provider Demographics
NPI:1639403140
Name:SCHAEFFER, JERRY (DC)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:SCHAEFFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2707
Mailing Address - Country:US
Mailing Address - Phone:215-822-9111
Mailing Address - Fax:
Practice Address - Street 1:350 N MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2707
Practice Address - Country:US
Practice Address - Phone:215-822-9111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002965L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor