Provider Demographics
NPI:1245775063
Name:SCHREINER, JOSHUA (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:SCHREINER
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 1:901 KIMBALL LN
Mailing Address - Street 2:# 1100
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-1748
Mailing Address - Country:US
Mailing Address - Phone:608-848-0058
Mailing Address - Fax:
Practice Address - Street 1:901 KIMBALL LN
Practice Address - Street 2:# 1100
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-1748
Practice Address - Country:US
Practice Address - Phone:608-848-0058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5236 - 12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor