Provider Demographics
NPI:1851404826
Name:SCHAFFER CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:SCHAFFER CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:ROBB
Authorized Official - Last Name:SCHAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-374-8897
Mailing Address - Street 1:4205 NORTHERN PIKE
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2713
Mailing Address - Country:US
Mailing Address - Phone:412-374-8897
Mailing Address - Fax:412-374-8897
Practice Address - Street 1:4205 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2713
Practice Address - Country:US
Practice Address - Phone:412-374-8897
Practice Address - Fax:412-374-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-005623-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA90-873-359OtherPA STATE ID
PA01530718OtherWELFARE
PA306382OtherUPMC
PAU55736Medicare UPIN
PA01530718OtherWELFARE