Healthcare Provider Details

I. General information

NPI: 1205834959
Provider Name (Legal Business Name): CHRISTOPHER JON SCHAFFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 VILLAGE ST STE 100
BIRMINGHAM AL
35242-6436
US

IV. Provider business mailing address

140 VILLAGE ST STE 100
BIRMINGHAM AL
35242-6436
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-1744
  • Fax: 205-980-1334
Mailing address:
  • Phone: 205-980-1744
  • Fax: 205-980-1334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number22158
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: