Provider Demographics
NPI:1942592860
Name:SCHEPP FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SCHEPP FAMILY CHIROPRACTIC LLC
Other - Org Name:COMMUNITY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHEPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:608-698-2425
Mailing Address - Street 1:1501 E SUMNER ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:WI
Mailing Address - Zip Code:53027-2608
Mailing Address - Country:US
Mailing Address - Phone:608-698-2425
Mailing Address - Fax:
Practice Address - Street 1:1501 E SUMNER ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:WI
Practice Address - Zip Code:53027-2608
Practice Address - Country:US
Practice Address - Phone:608-698-2425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-11
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4711-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty