Provider Demographics
NPI:1083287700
Name:SCHAB, KRYSTEN (DC)
Entity Type:Individual
Prefix:
First Name:KRYSTEN
Middle Name:
Last Name:SCHAB
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 1:170 SILVER MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTT TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-7778
Mailing Address - Country:US
Mailing Address - Phone:570-906-1138
Mailing Address - Fax:
Practice Address - Street 1:203 GREENWOOD AVE STE 2
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-1405
Practice Address - Country:US
Practice Address - Phone:570-586-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor