Provider Demographics
NPI:1942498092
Name:SCHEIBLE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:SCHEIBLE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHEIBLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-306-1616
Mailing Address - Street 1:PO BOX 170
Mailing Address - Street 2:
Mailing Address - City:LABADIE
Mailing Address - State:MO
Mailing Address - Zip Code:63055-0170
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5089 COLEMAN RD
Practice Address - Street 2:
Practice Address - City:VILLA RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63089-1416
Practice Address - Country:US
Practice Address - Phone:314-306-1616
Practice Address - Fax:833-722-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007019138111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000015565Medicare PIN