Provider Demographics
NPI:1972698967
Name:SCHILLIG, MICHELE DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:DAWN
Last Name:SCHILLIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:DAWN
Other - Last Name:CHARLTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:22752 HARRISBURG WESTVILLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-9224
Mailing Address - Country:US
Mailing Address - Phone:330-829-1962
Mailing Address - Fax:330-829-9875
Practice Address - Street 1:22752 HARRISBURG WESTVILLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-9224
Practice Address - Country:US
Practice Address - Phone:330-829-1962
Practice Address - Fax:330-829-9875
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2754111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2092506Medicaid
OH2092506Medicaid
OHU75447Medicare UPIN