Provider Demographics
NPI:1790713683
Name:SCHIFFER, ERIC M (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:M
Last Name:SCHIFFER
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 1:31166 GRAND RIVER
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-4277
Mailing Address - Country:US
Mailing Address - Phone:248-477-6400
Mailing Address - Fax:
Practice Address - Street 1:31166 GRAND RIVER
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-4277
Practice Address - Country:US
Practice Address - Phone:248-477-6400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950F35120OtherMICHIGAN BLUE CROSS
MIT33372Medicare UPIN
MION41070Medicare ID - Type Unspecified
MIP00281270Medicare ID - Type UnspecifiedRAIL ROAD MEDICARE