Provider Demographics
NPI:1780680249
Name:SCHUGEL, MONICA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:JEAN
Last Name:SCHUGEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 LOR RAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-1939
Mailing Address - Country:US
Mailing Address - Phone:507-385-1015
Mailing Address - Fax:507-388-8001
Practice Address - Street 1:1706 LOR RAY DR
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-1939
Practice Address - Country:US
Practice Address - Phone:507-385-1015
Practice Address - Fax:507-388-8001
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4317111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN6167123OtherSTATE TAX ID #
MN651095OtherCHIRO CARE #
MN044L5SCOtherBC/BS GROUP #
MN044L6SCOtherBC/BS INDIVIDUAL #
MN74-3067606OtherFED. TAX ID#
MN560065100OtherMN CARE #
MN044L6SCOtherBC/BS INDIVIDUAL #
MN74-3067606OtherFED. TAX ID#