Provider Demographics
NPI:1295031474
Name:SCHUETZE, JENNIFER A (DC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:SCHUETZE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3723 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1907
Mailing Address - Country:US
Mailing Address - Phone:716-939-2787
Mailing Address - Fax:
Practice Address - Street 1:3723 HARLEM RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-1907
Practice Address - Country:US
Practice Address - Phone:716-939-2787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011992111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor