Provider Demographics
NPI:1275566614
Name:SCHREINER CHIROPRACTIC PROFESSIONAL CORP.
Entity Type:Organization
Organization Name:SCHREINER CHIROPRACTIC PROFESSIONAL CORP.
Other - Org Name:CALIFORNIA CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:831-759-0858
Mailing Address - Street 1:47 E ROMIE LN
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3123
Mailing Address - Country:US
Mailing Address - Phone:831-759-0858
Mailing Address - Fax:831-758-2243
Practice Address - Street 1:47 E ROMIE LN
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3123
Practice Address - Country:US
Practice Address - Phone:831-759-0858
Practice Address - Fax:831-758-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 18180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0181800OtherBLUE SHIELD PROVIDER ID
CADC0181800Medicare ID - Type UnspecifiedPROVIDER NUMBER
CADC0181800OtherBLUE SHIELD PROVIDER ID