Provider Demographics
NPI:1073794541
Name:SCHONE'S CHIROPRACTIC CLINIC, INC
Entity Type:Organization
Organization Name:SCHONE'S CHIROPRACTIC CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-868-8950
Mailing Address - Street 1:2020 BRICE RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3428
Mailing Address - Country:US
Mailing Address - Phone:614-868-8950
Mailing Address - Fax:614-868-1074
Practice Address - Street 1:2020 BRICE RD
Practice Address - Street 2:SUITE 135
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3428
Practice Address - Country:US
Practice Address - Phone:614-868-8950
Practice Address - Fax:614-868-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDG9997OtherRAILROAD MEDICARE GROUP NUMBER
SC9289931OtherJOHNSTOWN OFFICE PTAN GROUP NUMBER
OH50352625800OtherBWC PROVIDER NUMBER
OH0231074Medicaid
OH350030249OtherRAILROAD MEDICARE PTAN
OH0231074Medicaid
OH9289931Medicare PIN
OH350030249OtherRAILROAD MEDICARE PTAN