Provider Demographics
NPI:1154515757
Name:SCHRAMM, ROBERT W (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:SCHRAMM
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 1:8195 N MILITARY TRL
Mailing Address - Street 2:SUITE E & F
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6307
Mailing Address - Country:US
Mailing Address - Phone:561-622-7392
Mailing Address - Fax:561-622-7355
Practice Address - Street 1:8195 N MILITARY TRL
Practice Address - Street 2:SUITE E & F
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6307
Practice Address - Country:US
Practice Address - Phone:561-622-7392
Practice Address - Fax:561-622-7355
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5961111N00000X
FLCH 5961111NI0013X, 111NN1001X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK1053OtherMEDICARE SENDER #
FLK1053OtherMEDICARE SENDER #
FLU12708Medicare UPIN