Provider Demographics
NPI:1851614671
Name:SCHLIEF CHIROPRACTIC & WELLNESS, LLC
Entity type:Organization
Organization Name:SCHLIEF CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DWAYNE
Authorized Official - Last Name:SCHLIEF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-624-3004
Mailing Address - Street 1:1615 W BUS HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MO
Mailing Address - Zip Code:63841-2838
Mailing Address - Country:US
Mailing Address - Phone:573-624-3004
Mailing Address - Fax:573-624-0023
Practice Address - Street 1:1615 W BUS HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MO
Practice Address - Zip Code:63841-2838
Practice Address - Country:US
Practice Address - Phone:573-624-3004
Practice Address - Fax:573-624-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1036667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty