Provider Demographics
NPI:1093713984
Name:SCHLOEMP, MIKE (DC)
Entity Type:Individual
Prefix:DR
First Name:MIKE
Middle Name:
Last Name:SCHLOEMP
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 1:333 N DOBSON RD STE 16
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4412
Mailing Address - Country:US
Mailing Address - Phone:480-766-6076
Mailing Address - Fax:
Practice Address - Street 1:333 N DOBSON RD STE 16
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4412
Practice Address - Country:US
Practice Address - Phone:480-899-9855
Practice Address - Fax:480-899-4655
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7577111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ102218Medicare ID - Type Unspecified
AZV04504Medicare UPIN