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NPI Code Detail

MEDICARE: DR. RANDALL R SHAFFER D.C.

MEDICARE: DR. RANDALL R SHAFFER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1820OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11820C-02OTHEROHHUMANA
2000000253039OTHEROHANTHEM
344-85129OTHEROHUNITED HEALTHCARE
4000000193438OTHEROHANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811993256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDALL R SHAFFER D.C.
Provider Business Mailing Address
First Line : 582 UPPER LEWISBURG SALEM RD
Second Line :
City : BROOKVILLE
State : OH
Zip : 45309-9655
Country : US
Telephone Number : 937-833-4200
Fax Number : 937-833-3444
Provider Business Practice Location Address
First Line : 582 UPPER LEWISBURG SALEM RD
Second Line :
City : BROOKVILLE
State : OH
Zip : 45309-9655
Country : US
Telephone Number : 937-833-4200
Fax Number : 937-833-3444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 09/19/2007

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Directions to “ DR. RANDALL R SHAFFER D.C.” Practice Location

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