Provider Demographics
NPI:1922096288
Name:SCHOENMAN, KIRK L (DC)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:L
Last Name:SCHOENMAN
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 1:7100 NORTH HIGH ST.
Mailing Address - Street 2:STE 202
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-547-0160
Mailing Address - Fax:614-547-0161
Practice Address - Street 1:7100 NORTH HIGH ST.
Practice Address - Street 2:STE 202
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085
Practice Address - Country:US
Practice Address - Phone:614-547-0160
Practice Address - Fax:614-547-0161
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1108111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0616275Medicaid
OH0616275Medicaid
OHSC0578042Medicare ID - Type Unspecified