Provider Demographics
NPI:1003870205
Name:SCHONHARD, ANN M (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:SCHONHARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2522 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-3929
Mailing Address - Country:US
Mailing Address - Phone:517-783-0900
Mailing Address - Fax:517-783-1810
Practice Address - Street 1:2522 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-3929
Practice Address - Country:US
Practice Address - Phone:517-783-0900
Practice Address - Fax:517-783-1810
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS006087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
950C81093OtherBCBS
MIU43189Medicare UPIN
MI0N87660Medicare ID - Type Unspecified