Provider Demographics
NPI:1487853198
Name:SCHLEY, LEIF ERIK (DC)
Entity Type:Individual
Prefix:DR
First Name:LEIF
Middle Name:ERIK
Last Name:SCHLEY
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 1:105 NEW ENGLAND PLACE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6783
Mailing Address - Country:US
Mailing Address - Phone:651-342-2083
Mailing Address - Fax:651-342-2036
Practice Address - Street 1:105 NEW ENGLAND PLACE
Practice Address - Street 2:SUITE 250
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6783
Practice Address - Country:US
Practice Address - Phone:651-342-2083
Practice Address - Fax:651-342-2036
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2014-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNU83266Medicare UPIN
MN350003299Medicare PIN