Provider Demographics
NPI:1962506196
Name:SCHNIPPER, BRIAN R (DC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:R
Last Name:SCHNIPPER
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 1:4623 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-9120
Mailing Address - Country:US
Mailing Address - Phone:561-966-7194
Mailing Address - Fax:561-966-7191
Practice Address - Street 1:4623 FOREST HILL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-9120
Practice Address - Country:US
Practice Address - Phone:561-967-8888
Practice Address - Fax:561-641-8303
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55557OtherFL BLUE
FL55557OtherFL BLUE