Provider Demographics
NPI:1568973386
Name:SCHUELKE, CLAYTON JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:JAMES
Last Name:SCHUELKE
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 1:5836 CORPORATE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4742
Mailing Address - Country:US
Mailing Address - Phone:714-229-3660
Mailing Address - Fax:714-229-3663
Practice Address - Street 1:5836 CORPORATE AVE STE 120
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4751
Practice Address - Country:US
Practice Address - Phone:714-229-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2024-03-29
Deactivation Date:2023-10-13
Deactivation Code:
Reactivation Date:2023-11-22
Provider Licenses
StateLicense IDTaxonomies
CA34046111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician