Provider Demographics
NPI:1790856045
Name:SCHRAUB, JOHN CLEBURN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CLEBURN
Last Name:SCHRAUB
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 1:311 ALCOVY ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-2139
Mailing Address - Country:US
Mailing Address - Phone:770-207-9465
Mailing Address - Fax:
Practice Address - Street 1:311 ALCOVY ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-2139
Practice Address - Country:US
Practice Address - Phone:770-207-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU73958Medicare ID - Type Unspecified