Provider Demographics
NPI:1619019254
Name:SCHOFIELD, FREDERICK A (DC)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:A
Last Name:SCHOFIELD
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 1:4131 W THUNDERBIRD RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-5341
Mailing Address - Country:US
Mailing Address - Phone:602-938-8868
Mailing Address - Fax:602-938-5084
Practice Address - Street 1:4131 W THUNDERBIRD RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5341
Practice Address - Country:US
Practice Address - Phone:602-938-8868
Practice Address - Fax:602-938-5084
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0935640OtherBCBS
AZAZ0935640OtherBCBS
AZV03943Medicare UPIN