Provider Demographics
NPI:1851306344
Name:SCHEINUCK, BETTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:BETTINA
Middle Name:
Last Name:SCHEINUCK
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 1:243 N SHERMAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-4716
Mailing Address - Country:US
Mailing Address - Phone:209-239-1999
Mailing Address - Fax:209-239-3077
Practice Address - Street 1:243 N SHERMAN AVENUE
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-4716
Practice Address - Country:US
Practice Address - Phone:209-239-1999
Practice Address - Fax:209-239-3077
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC214980Medicare ID - Type Unspecified
U22084Medicare UPIN