Provider Demographics
NPI:1710252317
Name:SCHANTZ CHIROPRATIC, P.C.
Entity Type:Organization
Organization Name:SCHANTZ CHIROPRATIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-993-9287
Mailing Address - Street 1:PO BOX 2291
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30077-2291
Mailing Address - Country:US
Mailing Address - Phone:770-993-9287
Mailing Address - Fax:770-993-1203
Practice Address - Street 1:1570 WARSAW RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1532
Practice Address - Country:US
Practice Address - Phone:770-993-9287
Practice Address - Fax:770-993-1203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-14
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA281829OtherBLUE CROSS & BLUE SHIELD
GA350053547OtherRAILROAD MEDICARE
GA5073186OtherCCN
GA4008625OtherBLUE CROSS & BLUE SHIELD TN
GAP4400528OtherUNITED HEALTHCARE
GA0585501OtherAETNA
GA0585501OtherAETNA
GA281829OtherBLUE CROSS & BLUE SHIELD