Provider Demographics
NPI:1205969045
Name:SCHAEFER, ROBERT ARTHUR (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GREGORY LANE
Mailing Address - Street 2:SUITE 39
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2778
Mailing Address - Country:US
Mailing Address - Phone:925-827-9223
Mailing Address - Fax:925-827-9223
Practice Address - Street 1:101 GREGORY LANE
Practice Address - Street 2:SUITE 39
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2778
Practice Address - Country:US
Practice Address - Phone:925-827-9223
Practice Address - Fax:925-827-9223
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0282830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU93336Medicare UPIN