Provider Demographics
NPI:1396566352
Name:SCHREMPP, CONNOR T (DC)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:T
Last Name:SCHREMPP
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:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:MN
Mailing Address - Zip Code:55386-0121
Mailing Address - Country:US
Mailing Address - Phone:612-723-9660
Mailing Address - Fax:
Practice Address - Street 1:8010 81ST ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:MN
Practice Address - Zip Code:55386-9737
Practice Address - Country:US
Practice Address - Phone:612-723-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor