Provider Demographics
NPI:1871028514
Name:SCHROEDER, CAMERON JEANNE (DC)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:JEANNE
Last Name:SCHROEDER
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 1:12 10TH AVE W
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:ND
Mailing Address - Zip Code:58054-4301
Mailing Address - Country:US
Mailing Address - Phone:701-683-5272
Mailing Address - Fax:
Practice Address - Street 1:12 10TH AVE W
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:ND
Practice Address - Zip Code:58054-4301
Practice Address - Country:US
Practice Address - Phone:701-683-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1055111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor