Provider Demographics
NPI:1649397852
Name:KEITH SCHNAPPAUF
Entity Type:Organization
Organization Name:KEITH SCHNAPPAUF
Other - Org Name:COVERED BRIDGE CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:SCHNAPPAUF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-536-8700
Mailing Address - Street 1:345 UNION HILL RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1875
Mailing Address - Country:US
Mailing Address - Phone:732-536-8700
Mailing Address - Fax:732-536-0448
Practice Address - Street 1:345 UNION HILL RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1875
Practice Address - Country:US
Practice Address - Phone:732-536-8700
Practice Address - Fax:732-536-0448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ03590111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ618211Medicare PIN