Provider Demographics
NPI:1720858756
Name:SCHAFER, DEBRA ORAND (BS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ORAND
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:MARIE
Other - Last Name:ORAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:815 N CLARE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:MI
Mailing Address - Zip Code:48625-8177
Mailing Address - Country:US
Mailing Address - Phone:989-539-6731
Mailing Address - Fax:
Practice Address - Street 1:815 N CLARE AVE STE B
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:MI
Practice Address - Zip Code:48625-8177
Practice Address - Country:US
Practice Address - Phone:989-539-6731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker