Provider Demographics
NPI:1124204243
Name:SCHIERMEYER, JOHN JEREMY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JEREMY
Last Name:SCHIERMEYER
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 1:4127 MEXICO RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6410
Mailing Address - Country:US
Mailing Address - Phone:314-226-1699
Mailing Address - Fax:636-246-0032
Practice Address - Street 1:4127 MEXICO RD
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6410
Practice Address - Country:US
Practice Address - Phone:314-226-1699
Practice Address - Fax:636-246-0032
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor