Provider Demographics
NPI:1649389867
Name:SCHUBBE, AMY J (DC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:SCHUBBE
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 1:873 N CASALOMA DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8606
Mailing Address - Country:US
Mailing Address - Phone:920-734-2400
Mailing Address - Fax:920-734-2100
Practice Address - Street 1:873 N CASALOMA DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8606
Practice Address - Country:US
Practice Address - Phone:920-734-2400
Practice Address - Fax:920-734-2100
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38907500Medicaid
WI664130OtherUNITEDHEALTHCARE
WI35700Medicare ID - Type Unspecified
WI38907500Medicaid