Provider Demographics
NPI:1487686234
Name:SCHUESSLER, BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:SCHUESSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4591 E HIGHWAY 20
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-8844
Mailing Address - Country:US
Mailing Address - Phone:850-279-4913
Mailing Address - Fax:850-279-4975
Practice Address - Street 1:4591 E HIGHWAY 20
Practice Address - Street 2:SUITE 201
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8844
Practice Address - Country:US
Practice Address - Phone:850-279-4913
Practice Address - Fax:850-279-4975
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381477700Medicaid
FL381477700Medicaid
FLU79875Medicare UPIN