Provider Demographics
NPI:1932237666
Name:SCHAEFER, JAMES D (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:D
Last Name:SCHAEFER
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 1:15610 N 35TH AVE
Mailing Address - Street 2:STE 11
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3838
Mailing Address - Country:US
Mailing Address - Phone:602-843-1197
Mailing Address - Fax:
Practice Address - Street 1:15610 N 35TH AVE
Practice Address - Street 2:STE 11
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3838
Practice Address - Country:US
Practice Address - Phone:602-843-1197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC3437Medicare PIN