Provider Demographics
NPI:1831196906
Name:SCHEITEL, ERIC DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DAVID
Last Name:SCHEITEL
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 1:101 1/2 EXPERIMENT STATION LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4769
Mailing Address - Country:US
Mailing Address - Phone:931-388-6437
Mailing Address - Fax:931-540-8763
Practice Address - Street 1:101 1/2 EXPERIMENT STATION LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4769
Practice Address - Country:US
Practice Address - Phone:931-388-6437
Practice Address - Fax:931-540-8763
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3672130Medicare ID - Type Unspecified
T74494Medicare UPIN