Provider Demographics
NPI:1922153212
Name:SCHUELKE, STEVEN E (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:SCHUELKE
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 1:132 N EMERY AVE
Mailing Address - Street 2:
Mailing Address - City:PESHTIGO
Mailing Address - State:WI
Mailing Address - Zip Code:54157-1214
Mailing Address - Country:US
Mailing Address - Phone:715-582-9252
Mailing Address - Fax:715-582-0294
Practice Address - Street 1:132 N EMERY AVE
Practice Address - Street 2:
Practice Address - City:PESHTIGO
Practice Address - State:WI
Practice Address - Zip Code:54157-1214
Practice Address - Country:US
Practice Address - Phone:715-582-9252
Practice Address - Fax:715-582-0294
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1805-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38777000Medicaid
WI38777000Medicaid
WIT63270Medicare UPIN