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Individual

DR. RANDALL R SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
582 UPPER LEWISBURG SALEM RD, BROOKVILLE, OH 45309-9655
(937) 833-4200
(937) 833-3444
Mailing address
582 UPPER LEWISBURG SALEM RD, BROOKVILLE, OH 45309-9655
(937) 833-4200
(937) 833-3444

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1820
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000193438
ANTHEM
OH
01
000000253039
ANTHEM
OH
05
0869823
OH
01
1820C-02
HUMANA
OH
01
44-85129
UNITED HEALTHCARE
OH
Enumeration date
06/21/2005
Last updated
09/19/2007
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