Provider Demographics
NPI:1588848394
Name:SCHONE'S CHIRORPRACTIC CLINIC, INC.
Entity Type:Organization
Organization Name:SCHONE'S CHIRORPRACTIC CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:740-967-0020
Mailing Address - Street 1:52 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43031-1225
Mailing Address - Country:US
Mailing Address - Phone:740-967-0020
Mailing Address - Fax:
Practice Address - Street 1:52 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43031-1225
Practice Address - Country:US
Practice Address - Phone:740-967-0020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH350030249OtherRAILROAD MEDICARE PTAN
50352625801OtherBWC PROVIDER NUMBER
OHDG9997OtherRAILROAD MEDICARE GROUP NUMBER
OH0231074Medicaid
50352625801OtherBWC PROVIDER NUMBER
OH1073585584Medicare UPIN