Provider Demographics
NPI:1417799784
Name:SCHENK CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SCHENK CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:SCHENK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-260-6648
Mailing Address - Street 1:412 E OSKALOOSA ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-2208
Mailing Address - Country:US
Mailing Address - Phone:641-820-0151
Mailing Address - Fax:
Practice Address - Street 1:412 E OSKALOOSA ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-2208
Practice Address - Country:US
Practice Address - Phone:641-820-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-08
Last Update Date:2024-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center