Basic Information
Provider Information
NPI: 1285987933
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHAEFFER
FirstName: CHASE
MiddleName: ALEXANDER
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2112 HARRISBURG PIKE
Address2: SUITE 202, PO BOX 3200
City: LANCASTER
State: PA
PostalCode: 176012644
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 555 N DUKE ST
Address2:  
City: LANCASTER
State: PA
PostalCode: 176022250
CountryCode: US
TelephoneNumber: 7175448144
FaxNumber: 7175448140
Other Information
ProviderEnumerationDate: 10/18/2012
LastUpdateDate: 10/02/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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