Provider Demographics
NPI:1063482438
Name:SCHULER, JEROME R (DC)
Entity Type:Individual
Prefix:
First Name:JEROME
Middle Name:R
Last Name:SCHULER
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 1:1050 31ST AVE SW
Mailing Address - Street 2:SUITE D
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-2005
Mailing Address - Country:US
Mailing Address - Phone:701-838-0223
Mailing Address - Fax:701-838-0238
Practice Address - Street 1:1050 31ST AVE SW
Practice Address - Street 2:SUITE D
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-2005
Practice Address - Country:US
Practice Address - Phone:701-838-0223
Practice Address - Fax:701-838-0238
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T66818Medicare UPIN
ND18774Medicare ID - Type Unspecified