Individual
PHILLIP EDWARD SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
PO BOX 1241, SOUTH BEND, IN 46624-1241
(855) 691-9888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004366A
IN
207P00000X
Emergency Medicine Physician
036-131383
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000919717
BCBS MED POINT URGENT CARE CR 6
IN
05
—
201215140
—
IN
Enumeration date
04/14/2010
Last updated
04/04/2016
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