Provider Demographics
NPI:1831304542
Name:JOESPH S SCHLAFFER
Entity Type:Organization
Organization Name:JOESPH S SCHLAFFER
Other - Org Name:SCHLAFFER CHIROPRACTIC OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MARTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-789-1369
Mailing Address - Street 1:192 SHOEMAKER LN
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-3616
Mailing Address - Country:US
Mailing Address - Phone:413-789-1369
Mailing Address - Fax:413-789-7136
Practice Address - Street 1:192 SHOEMAKER LN
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-3616
Practice Address - Country:US
Practice Address - Phone:413-789-1369
Practice Address - Fax:413-789-7136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA499111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1604902Medicaid
MA1604902Medicaid