Provider Demographics
NPI:1699046177
Name:SCHUELLER CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:SCHUELLER CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:BURTON
Authorized Official - Last Name:SCHUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-386-7247
Mailing Address - Street 1:808 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-1613
Mailing Address - Country:US
Mailing Address - Phone:715-386-7247
Mailing Address - Fax:
Practice Address - Street 1:219 BROAD ST N
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:WI
Practice Address - Zip Code:54021-1703
Practice Address - Country:US
Practice Address - Phone:715-262-3661
Practice Address - Fax:715-262-4146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI220012261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1528367521Medicaid
WI1528367521Medicaid
V01008Medicare UPIN