Provider Demographics
NPI:1528357969
Name:SCHEPP, DANE ANDREW (DC)
Entity Type:Individual
Prefix:MR
First Name:DANE
Middle Name:ANDREW
Last Name:SCHEPP
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:N3751 O'CONNOR RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:WI
Mailing Address - Zip Code:53925
Mailing Address - Country:US
Mailing Address - Phone:608-698-2425
Mailing Address - Fax:
Practice Address - Street 1:N3751 OCONNOR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:WI
Practice Address - Zip Code:53925-8908
Practice Address - Country:US
Practice Address - Phone:608-698-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4711-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor