Provider Demographics
NPI:1386826584
Name:JAY SCHRODER, DC, LLC
Entity Type:Organization
Organization Name:JAY SCHRODER, DC, LLC
Other - Org Name:SCHRODER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHRODER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-791-9917
Mailing Address - Street 1:1113 MURFREESBORO RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1306
Mailing Address - Country:US
Mailing Address - Phone:615-791-9917
Mailing Address - Fax:615-791-9675
Practice Address - Street 1:1113 MURFREESBORO RD
Practice Address - Street 2:SUITE 410
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1306
Practice Address - Country:US
Practice Address - Phone:615-791-9917
Practice Address - Fax:615-791-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000002029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3729531Medicare PIN