Gary Wayne Schaaf, DC
Individual provider Active NPI Chiropractor · Attica, OH
NPI 1902971237 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902971237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1814 (OH)
- Practice address
- 4534 SSR 4
Attica, OH 44807 - Phone
- (419) 426-4501
- Fax
- (419) 426-4901
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1814 | OH | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1814 | OH | Yes |
Addresses
Primary practice location
4534 SSR 4
Attica, OH 44807
Mailing address
PO Box 506
4534 SSR 4
Attica, OH 44807
Phone (419) 426-4501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00017764 | Other | RR MEDICARE |
Other providers in Attica, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.