Provider Demographics
NPI:1528208147
Name:SCHATT CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:SCHATT CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHATT
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:314-631-6638
Mailing Address - Street 1:9428 GRAVOIS RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-4530
Mailing Address - Country:US
Mailing Address - Phone:314-631-6638
Mailing Address - Fax:314-631-6638
Practice Address - Street 1:9428 GRAVOIS RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63123-4530
Practice Address - Country:US
Practice Address - Phone:314-631-6638
Practice Address - Fax:314-631-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-22
Last Update Date:2009-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO4850111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT78463Medicare UPIN