Healthcare Provider Details

I. General information

NPI: 1013400910
Provider Name (Legal Business Name): SCHAAF ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 06/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530A HARKLE RD
SANTA FE NM
87505
US

IV. Provider business mailing address

530A HARKLE RD
SANTA FE NM
87505-4713
US

V. Phone/Fax

Practice location:
  • Phone: 512-495-9015
  • Fax:
Mailing address:
  • Phone: 512-495-9015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARLENE MERRITT
Title or Position: OWNER
Credential:
Phone: 512-495-9015