Provider Demographics
NPI:1619075793
Name:SCHOFIELD, EILEEN ANDREWS (DC)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:ANDREWS
Last Name:SCHOFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 S 320TH ST
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5620
Mailing Address - Country:US
Mailing Address - Phone:253-946-4524
Mailing Address - Fax:253-946-1527
Practice Address - Street 1:2210 S 320TH ST
Practice Address - Street 2:SUITE A-3
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5620
Practice Address - Country:US
Practice Address - Phone:253-946-4524
Practice Address - Fax:253-946-1527
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAT60946Medicare UPIN