Provider Demographics
NPI:1790094290
Name:SCHRIMSHER CHIROPRACTIC PA
Entity Type:Organization
Organization Name:SCHRIMSHER CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:SCHRIMSHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-465-2025
Mailing Address - Street 1:210 HWY 79
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4513
Mailing Address - Country:US
Mailing Address - Phone:512-465-2025
Mailing Address - Fax:512-465-2406
Practice Address - Street 1:210 HWY 79
Practice Address - Street 2:SUITE 102
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4513
Practice Address - Country:US
Practice Address - Phone:512-465-2025
Practice Address - Fax:512-465-2406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty