Provider Demographics
NPI:1558404277
Name:SCHREINER CHIROPRACTIC
Entity Type:Organization
Organization Name:SCHREINER CHIROPRACTIC
Other - Org Name:TRI CITIES CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-490-2416
Mailing Address - Street 1:39809 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2974
Mailing Address - Country:US
Mailing Address - Phone:510-490-8900
Mailing Address - Fax:510-490-9407
Practice Address - Street 1:39809 PASEO PADRE PKWY
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2974
Practice Address - Country:US
Practice Address - Phone:510-490-8900
Practice Address - Fax:510-490-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18180111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0181801Medicare ID - Type UnspecifiedMEDICARE