Provider Demographics
NPI:1578572525
Name:SCHURMANN, RALF S (DC)
Entity Type:Individual
Prefix:DR
First Name:RALF
Middle Name:S
Last Name:SCHURMANN
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 1:6737B CODY ST
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-8504
Mailing Address - Country:US
Mailing Address - Phone:208-267-2225
Mailing Address - Fax:208-267-2225
Practice Address - Street 1:6737B CODY ST
Practice Address - Street 2:
Practice Address - City:BONNERS FERRY
Practice Address - State:ID
Practice Address - Zip Code:83805-8504
Practice Address - Country:US
Practice Address - Phone:208-267-2225
Practice Address - Fax:208-267-2225
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1719111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDM000004682Medicare PIN