Provider Demographics
NPI:1093056350
Name:SCHROERING, DEREK ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:DEREK
Middle Name:ADAM
Last Name:SCHROERING
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 1:1618 MIDLAND TRL
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-1639
Mailing Address - Country:US
Mailing Address - Phone:502-520-4445
Mailing Address - Fax:502-520-4446
Practice Address - Street 1:1618 MIDLAND TRL
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1639
Practice Address - Country:US
Practice Address - Phone:502-520-4445
Practice Address - Fax:502-520-4446
Is Sole Proprietor?:No
Enumeration Date:2013-03-12
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor