Provider Demographics
NPI:1215109830
Name:SCHIMKE CHIROPRACTIC SC
Entity type:Organization
Organization Name:SCHIMKE CHIROPRACTIC SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:SCHIMKE JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-968-9891
Mailing Address - Street 1:W309 S4860 COMMERCIAL DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTH PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53153
Mailing Address - Country:US
Mailing Address - Phone:262-968-9891
Mailing Address - Fax:262-968-9782
Practice Address - Street 1:W309 S4860 COMMERCIAL DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53153
Practice Address - Country:US
Practice Address - Phone:262-968-9891
Practice Address - Fax:262-968-9782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty