Provider Demographics
NPI:1245231323
Name:SCHRICKEL, THADDEAUS CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:THADDEAUS
Middle Name:CHRISTOPHER
Last Name:SCHRICKEL
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 1:1562 CADIZ RD
Mailing Address - Street 2:
Mailing Address - City:WINTERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-7630
Mailing Address - Country:US
Mailing Address - Phone:740-264-6235
Mailing Address - Fax:740-264-9395
Practice Address - Street 1:1562 CADIZ RD
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-7630
Practice Address - Country:US
Practice Address - Phone:740-264-6235
Practice Address - Fax:740-264-9395
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0298379Medicaid
OH0298379Medicaid
U64654Medicare UPIN