Provider Demographics
NPI:1134283146
Name:SCHACHTER, STEPHEN B (LAC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:B
Last Name:SCHACHTER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4140 NW 27TH LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7473
Mailing Address - Country:US
Mailing Address - Phone:352-375-7557
Mailing Address - Fax:352-375-0677
Practice Address - Street 1:4140 NW 27TH LN
Practice Address - Street 2:SUITE D
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7473
Practice Address - Country:US
Practice Address - Phone:352-375-7557
Practice Address - Fax:352-375-0677
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 0000072171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist