Provider Demographics
NPI:1568645190
Name:JAMES M SCHROEDER PC
Entity Type:Organization
Organization Name:JAMES M SCHROEDER PC
Other - Org Name:CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:712-548-4000
Mailing Address - Street 1:226B CENTRAL AVE NE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3231
Mailing Address - Country:US
Mailing Address - Phone:712-548-4000
Mailing Address - Fax:712-548-4000
Practice Address - Street 1:226B CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3231
Practice Address - Country:US
Practice Address - Phone:712-548-4000
Practice Address - Fax:712-548-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1218255Medicaid
IA1218255Medicaid
T01236Medicare UPIN