Provider Demographics
NPI:1326043159
Name:SCHAUB, LOISANN TOMEK (DC)
Entity Type:Individual
Prefix:DR
First Name:LOISANN
Middle Name:TOMEK
Last Name:SCHAUB
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:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:SPEEDWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37870-0330
Mailing Address - Country:US
Mailing Address - Phone:631-513-0342
Mailing Address - Fax:631-504-5484
Practice Address - Street 1:1041 POWELL VALLEY SHORES CIR
Practice Address - Street 2:
Practice Address - City:SPEEDWELL
Practice Address - State:TN
Practice Address - Zip Code:37870-8245
Practice Address - Country:US
Practice Address - Phone:631-513-0342
Practice Address - Fax:631-504-5484
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004621-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1326043159OtherNPI
NYX26171Medicare ID - Type UnspecifiedCHIROPRACTOR