Provider Demographics
NPI:1841480258
Name:SCHAFFER CHIROPRACTIC INC
Entity type:Organization
Organization Name:SCHAFFER CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SCHAFFER
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:412-751-7711
Mailing Address - Street 1:1311 BOSTON HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15135-1209
Mailing Address - Country:US
Mailing Address - Phone:412-751-7711
Mailing Address - Fax:
Practice Address - Street 1:1311 BOSTON HOLLOW RD
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15135-1209
Practice Address - Country:US
Practice Address - Phone:412-751-7711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005821L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA614463Medicare UPIN