Provider Demographics
NPI:1902830078
Name:SCHUELER, MARK D (DC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:D
Last Name:SCHUELER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:PO BOX 4127
Mailing Address - Street 2:ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24015-0127
Mailing Address - Country:US
Mailing Address - Phone:540-981-9394
Mailing Address - Fax:540-344-7154
Practice Address - Street 1:291 ARRINGTON LN
Practice Address - Street 2:ROANOKE VALLEY CHIROPRACTIC & CLINICAL NUTRITION CENTER
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-8274
Practice Address - Country:US
Practice Address - Phone:540-977-5400
Practice Address - Fax:540-992-3856
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2010-06-16
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Provider Licenses
StateLicense IDTaxonomies
VA0104001840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
244703OtherANTHEM
350051987OtherMEDICARE RR
244703OtherANTHEM
00W925R01Medicare PIN