Provider Demographics
NPI:1588820575
Name:SCHOENEKASE, ELIZABETH ELLA (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ELLA
Last Name:SCHOENEKASE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:ELLA
Other - Last Name:WIEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-0096
Mailing Address - Country:US
Mailing Address - Phone:636-937-9200
Mailing Address - Fax:636-937-0900
Practice Address - Street 1:620 COLLINS DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2077
Practice Address - Country:US
Practice Address - Phone:636-937-9200
Practice Address - Fax:636-937-0900
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008011494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO512110OtherGHP/COVENTRY
MO724977OtherOPTUMHEALTH
MO9377220OtherAETNA
MO951272OtherHEALTHLINK
MO603626OtherANTHEM BCBS