Healthcare Provider Details

I. General information

NPI: 1700881273
Provider Name (Legal Business Name): PAUL JOSEPH SCHAFFER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 PASEO PALMILLA
GOLETA CA
93117-1716
US

IV. Provider business mailing address

6003 PASEO PALMILLA
GOLETA CA
93117-1716
US

V. Phone/Fax

Practice location:
  • Phone: 805-692-9894
  • Fax:
Mailing address:
  • Phone: 805-692-9894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC15532
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: