Provider Demographics
NPI:1316920325
Name:SCHATZLE, CHAZ S (DC)
Entity type:Individual
Prefix:DR
First Name:CHAZ
Middle Name:S
Last Name:SCHATZLE
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 1:1651 GALISTEO ST
Mailing Address - Street 2:SUITE12
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4752
Mailing Address - Country:US
Mailing Address - Phone:505-690-4057
Mailing Address - Fax:505-982-9770
Practice Address - Street 1:1651 GALISTEO ST
Practice Address - Street 2:SUITE12
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4752
Practice Address - Country:US
Practice Address - Phone:505-690-4057
Practice Address - Fax:505-982-9770
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor