Provider Demographics
NPI:1972242196
Name:SCHAENZER, JORDAN JEANETTE (DC)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:JEANETTE
Last Name:SCHAENZER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9855 NW 3RD CT
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7078
Mailing Address - Country:US
Mailing Address - Phone:920-659-1121
Mailing Address - Fax:
Practice Address - Street 1:7119 W BROWARD BLVD
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2210
Practice Address - Country:US
Practice Address - Phone:954-417-5815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor