Provider Demographics
NPI:1609869593
Name:CLARKE-SCHOENOFF, ELISABETH A (DC)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:A
Last Name:CLARKE-SCHOENOFF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ELISABETH
Other - Middle Name:A
Other - Last Name:CLARKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2307 W ANDREW JOHNSON HWY
Mailing Address - Street 2:SUITE 113
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3298
Mailing Address - Country:US
Mailing Address - Phone:423-581-6955
Mailing Address - Fax:423-581-2200
Practice Address - Street 1:2307 W ANDREW JOHNSON HWY
Practice Address - Street 2:SUITE 113
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3298
Practice Address - Country:US
Practice Address - Phone:423-581-6955
Practice Address - Fax:423-581-2200
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC0000000792111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN36760711OtherMEDICARE PTAN
TN4154405OtherBCBS
TN36760711OtherMEDICARE PTAN