Provider Demographics
NPI:1831655687
Name:SCHUELKE AND WILSON CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:SCHUELKE AND WILSON CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHUELKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-229-3660
Mailing Address - Street 1:5836 CORPORATE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4742
Mailing Address - Country:US
Mailing Address - Phone:714-229-3660
Mailing Address - Fax:714-229-3663
Practice Address - Street 1:5836 CORPORATE AVE STE 120
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4742
Practice Address - Country:US
Practice Address - Phone:714-229-3660
Practice Address - Fax:714-229-3663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-18
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty