Provider Demographics
NPI:1629052097
Name:SCHILL, CLAIRE DEAN (DR)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:DEAN
Last Name:SCHILL
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 S.R. 436
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707
Mailing Address - Country:US
Mailing Address - Phone:407-788-7100
Mailing Address - Fax:407-339-3526
Practice Address - Street 1:480 STATE ROAD 436
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-4911
Practice Address - Country:US
Practice Address - Phone:407-788-7100
Practice Address - Fax:407-339-3526
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 4640111NN1001X, 111NS0005X
FLCH0004640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380298100Medicaid
FL70458Medicare PIN
FLU44662Medicare UPIN