Provider Demographics
NPI:1811296783
Name:SCHIFFMAN, CHAD ALAN
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:ALAN
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:286 MARILYN DR
Mailing Address - Street 2:286 MARILYN DRIVE
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-1036
Mailing Address - Country:US
Mailing Address - Phone:801-678-2964
Mailing Address - Fax:
Practice Address - Street 1:286 MARILYN DR
Practice Address - Street 2:286 MARILYN DRIVE
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1036
Practice Address - Country:US
Practice Address - Phone:801-678-2964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist