# RANDALL R. SHAFFER, D.C. INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shaffer Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285775601
- **Authorized official:** DR. RANDALL R SHAFFER D.C. (CHIROPRACTOR)
- **Authorized official phone:** (937) 878-8080

## Contact information

- **Practice address:** 1038 KAUFFMAN AVE, FAIRBORN, OH 45324-3815
- **Practice address phone:** (937) 878-8080
- **Practice address fax:** (937) 878-7072
- **Mailing address:** 1038 KAUFFMAN AVE, FAIRBORN, OH 45324-3815
- **Mailing address phone:** (937) 878-8080
- **Mailing address fax:** (937) 878-7072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1820 | OH | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/22/2020
