Erich Ernest Shafer, D.C.0

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0005031 Issued in FL

Practice address

2253 Park St
Jacksonville, FL 32204-4315

Phone

(904) 387-1795

Fax

(904) 387-1763

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750400057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044315",
            "telephone_number": "904-387-1795",
            "fax_number": "904-387-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044315",
            "telephone_number": "904-387-1795",
            "fax_number": "904-387-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "ERICH",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "D.C.0",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Shaeffer
• Willette Shaeffer, DMD
• William Shaeffer, DMD
• Winston Shaeffer, D.M.D.
• Shafer Chiropractic Clinic Inc
• Amanda Lea Shaffer, PMHNP-BC, MSN, RN
• Gayle Denise Shaffer, D.M.D.
• Kara J Shaffer, PA-C
• Anjali Shah Patel, OD
• Andrea Ellen Clark Shah, M.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.