Provider Demographics
NPI:1063749216
Name:B. SCHACHTSCHNEIDER CHIRO CORP.
Entity type:Organization
Organization Name:B. SCHACHTSCHNEIDER CHIRO CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BODO
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHACHTSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-299-2182
Mailing Address - Street 1:2903 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-5901
Mailing Address - Country:US
Mailing Address - Phone:619-299-2182
Mailing Address - Fax:
Practice Address - Street 1:2903 4TH AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5901
Practice Address - Country:US
Practice Address - Phone:619-299-2182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty