Provider Demographics
NPI:1700215522
Name:DR. CHRISTINE A. SCHLETER
Entity Type:Organization
Organization Name:DR. CHRISTINE A. SCHLETER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHLETER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-234-4420
Mailing Address - Street 1:501 SW 11TH PL
Mailing Address - Street 2:405A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7143
Mailing Address - Country:US
Mailing Address - Phone:954-234-4420
Mailing Address - Fax:
Practice Address - Street 1:40 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-1854
Practice Address - Country:US
Practice Address - Phone:954-428-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7931261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88373OtherBCBS
FL1150988OtherAMERICAN SPECIALTY HEALTH
FL88373OtherBCBS