Provider Demographics
NPI:1912940560
Name:SHAFFER, CARY D (DC)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:D
Last Name:SHAFFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ALLDS ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4711
Mailing Address - Country:US
Mailing Address - Phone:603-882-0460
Mailing Address - Fax:603-882-1969
Practice Address - Street 1:3 ALLDS ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4711
Practice Address - Country:US
Practice Address - Phone:603-882-0460
Practice Address - Fax:603-882-1969
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH107-1157-1282B111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0508416Y0NH03OtherANTHEM BC/BS
NH615715OtherACN
NH9096813OtherCIGNA
NH9427773OtherPHCS
NH12511588OtherMULTIPLAN
NH3700035OtherAETNA
NHS642065OtherFIRST HEALTH
NHU35020OtherHARVARD PILGRIM
NH615715OtherACN
NH12511588OtherMULTIPLAN