Provider Demographics
NPI:1285818880
Name:SCHOEPP FAMILY CHIROPRACTIC, P. C.
Entity Type:Organization
Organization Name:SCHOEPP FAMILY CHIROPRACTIC, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOEPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC, FICPA
Authorized Official - Phone:701-667-6290
Mailing Address - Street 1:405 BURLINGTON ST SE
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-4271
Mailing Address - Country:US
Mailing Address - Phone:701-667-6290
Mailing Address - Fax:701-663-5256
Practice Address - Street 1:405 BURLINGTON ST SE
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-4271
Practice Address - Country:US
Practice Address - Phone:701-667-6290
Practice Address - Fax:701-663-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND739111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN711260Medicare PIN
NDU98554Medicare UPIN