Provider Demographics
NPI:1487689071
Name:SCHLUSSEL, RICHARD
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:SCHLUSSEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 AUBURN RAVINE RD
Mailing Address - Street 2:SUTIE 207
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3719
Mailing Address - Country:US
Mailing Address - Phone:530-889-0388
Mailing Address - Fax:530-889-0389
Practice Address - Street 1:251 AUBURN RAVINE RD
Practice Address - Street 2:SUTIE 207
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3719
Practice Address - Country:US
Practice Address - Phone:530-889-0388
Practice Address - Fax:530-889-0389
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0218780Medicare ID - Type Unspecified