Provider Demographics
NPI:1316481443
Name:SCHREINER FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:SCHREINER FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-448-9579
Mailing Address - Street 1:901 KIMBALL LN
Mailing Address - Street 2:# 1100
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1748
Mailing Address - Country:US
Mailing Address - Phone:608-848-0058
Mailing Address - Fax:608-848-0059
Practice Address - Street 1:901 KIMBALL LN
Practice Address - Street 2:# 1100
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1748
Practice Address - Country:US
Practice Address - Phone:608-848-0058
Practice Address - Fax:608-848-0059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5236 - 12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty