Provider Demographics
NPI:1710062021
Name:SCHUMACHER, STEVEN W (CH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:SCHUMACHER
Suffix:
Gender:M
Credentials:CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:VA
Mailing Address - Zip Code:24266-0037
Mailing Address - Country:US
Mailing Address - Phone:276-889-1314
Mailing Address - Fax:276-889-4125
Practice Address - Street 1:800 HILL STREET
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620
Practice Address - Country:US
Practice Address - Phone:423-968-3311
Practice Address - Fax:423-968-1512
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN0000785111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3017158OtherBCBS
TN0000785OtherTN LICENSE
TNV01362OtherCARE CHOICE
TN11590OtherCHPA
TN3017158OtherBLUE CARE
VA0104001371OtherVA LICENSE
TN11590OtherCHPA