Provider Demographics
NPI:1043589286
Name:SCHOEN, BRANDON GENE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:GENE
Last Name:SCHOEN
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 1:1716 COLLEGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALVA
Mailing Address - State:OK
Mailing Address - Zip Code:73717-3414
Mailing Address - Country:US
Mailing Address - Phone:580-327-2468
Mailing Address - Fax:
Practice Address - Street 1:1716 COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:ALVA
Practice Address - State:OK
Practice Address - Zip Code:73717-3414
Practice Address - Country:US
Practice Address - Phone:580-327-2468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor