Provider Demographics
NPI:1346756376
Name:FLEXFIT CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:FLEXFIT CHIROPRACTIC, LLC
Other - Org Name:SCHONES CHIROPRACTIC CLINIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:BRANDEN
Authorized Official - Last Name:SCHONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:541-265-5550
Mailing Address - Street 1:1164 SW COAST HWY STE G
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-5287
Mailing Address - Country:US
Mailing Address - Phone:541-265-5550
Mailing Address - Fax:541-265-7820
Practice Address - Street 1:1164 SW COAST HWY STE G
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-5287
Practice Address - Country:US
Practice Address - Phone:541-265-5550
Practice Address - Fax:541-265-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR3608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR048019002OtherREGENCE BLUE CROSS BLUESHIELD OF OREGON