Provider Demographics
NPI:1346311628
Name:SCHAARSCHMIDT CHIROPRACTIC HEALTH CENTER LTD
Entity Type:Organization
Organization Name:SCHAARSCHMIDT CHIROPRACTIC HEALTH CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:RUDOLF
Authorized Official - Last Name:SCHAARSCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:262-334-0374
Mailing Address - Street 1:235 N 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-3059
Mailing Address - Country:US
Mailing Address - Phone:262-334-0374
Mailing Address - Fax:262-334-5958
Practice Address - Street 1:235 N 18TH AVE
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-3059
Practice Address - Country:US
Practice Address - Phone:262-334-0374
Practice Address - Fax:262-334-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38998800Medicaid