Schaffer, Glen

Schaffer, Glen is an individual health care provider with primary practice located at 19150 Acorn Rd Suite 103, Fort Myers FL 33912-3657. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Schaffer, Glen can be contacted via phone (239) 267-3133.

Contact Information

Primary practice address
19150 Acorn Rd Suite 103 Fort Myers FL 33912-3657
Phone: (239) 267-3133
Fax: (239) 267-8032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0004195 Florida

Profile Details

NPI number 1639167752
LBN Legal business name Schaffer, Glen
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 1st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639167752 NPPES
Other 350007311 RR MEDICARE
MEDICAID 3806162-00 RR MEDICARE
Other 440696 RR MEDICARE
Other 593466707 RR MEDICARE
Other 350007311 RR MEDICARE

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