Provider Demographics
NPI:1689787749
Name:SCHAFFNIT, RICHARD LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:SCHAFFNIT
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 1:11730 E MAIN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-3636
Mailing Address - Country:US
Mailing Address - Phone:814-725-4038
Mailing Address - Fax:814-725-4210
Practice Address - Street 1:11730 E MAIN RD
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428-3636
Practice Address - Country:US
Practice Address - Phone:814-725-4038
Practice Address - Fax:814-725-4210
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001638L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0032642OtherBLUE SHIELD
PA0032642OtherBLUE SHIELD
PAT27198Medicare UPIN