Provider Demographics
NPI:1710031059
Name:SCHEURENBRAND, WADE THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:WADE
Middle Name:THOMAS
Last Name:SCHEURENBRAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 W 26TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-0604
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5412 W 26TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-0604
Practice Address - Country:US
Practice Address - Phone:605-362-1230
Practice Address - Fax:605-323-0052
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD66954OtherACN GROUP
SD243599OtherMIDLANDS CHOICE
SD66954OtherUNITED HEALTHCARE
SD4995587OtherBCBS
SD35394OtherSVHP
SD66954OtherMEDICA
SD35394OtherSVHP
SDS41799Medicare ID - Type Unspecified