MR. GLEN C SCHAEFER (NPI# 1134287485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134287485 |
| Entity Type | Individual |
| Full Name | MR. GLEN C SCHAEFER |
| Credential | DC |
| Practice Address |
1822 W Kettleman Lane Suite 5 Lodi CA 95242-4218 |
| Practice Telephone | 2093681023 |
| Practice Fax Number | 2093688442 |
| Mailing Telephone | 2093681023 |
| Mailing Fax Number | 2093688442 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 15028 | CA | Chiropractic Providers |
| Street Address |
1822 W KETTLEMAN LANE SUITE 5 |
| City | LODI |
| State | CA |
| Zip Code | 95242-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467343 | Marcia L Schaefer | Chiropractor | 602 Corner St, Lodi, WI 53555-1109 | 2011-07-14 |
| 1568755726 | Heather West Leam | Chiropractor | 812 W Lodi Ave, Lodi, CA 95240-3302 | 2011-05-20 |
| 1396900304 | Raoul Micheal Magana | Chiropractor | 2111 W Kettleman Ln Ste C, Lodi, CA 95242-4336 | 2008-07-20 |
| 1659580702 | Krystal Sherri Allen | Chiropractor | 2000 W Kettleman Ln Ste 104, Lodi, CA 95242-4334 | 2007-05-22 |
| 1023162443 | Michael James Longo | Chiropractor | 600 Wooster St, Lodi, OH 44254-1326 | 2007-01-23 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| 1417023474 | James Raymond Wilson | Chiropractor | 2000 W Kettleman Ln, Suite 104, Lodi, CA 95242-4334 | 2006-11-28 |
| 1790859973 | Philip M Dipasquale Dc, Pa | Chiropractor | 2 Arnot St Ste 3, Lodi, NJ 07644-1629 | 2006-11-20 |
| 1437223880 | Burlage Chiropractic Wellness Center LLC | Chiropractor | 602a Corner St, Lodi, WI 53555-1109 | 2006-11-19 |
| 1518044130 | Hayes Chiropractic Inc | Chiropractor | 820 S Fairmont Ave, Lodi, CA 95240-5117 | 2006-11-01 |
| Find all providers in LODI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.