Provider Demographics
NPI:1316238447
Name:BOB SCHUMACHER, D.C., P.C.
Entity type:Organization
Organization Name:BOB SCHUMACHER, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:404-668-7838
Mailing Address - Street 1:4039 RIVER CLIFF CHASE SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-4742
Mailing Address - Country:US
Mailing Address - Phone:404-668-7838
Mailing Address - Fax:
Practice Address - Street 1:1000 PARKWOOD CIR SE
Practice Address - Street 2:STE 900
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-2131
Practice Address - Country:US
Practice Address - Phone:770-685-5278
Practice Address - Fax:678-909-0352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-23
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA102G354187OtherMEDICARE PTAN