Provider Demographics
NPI:1255761896
Name:SCHNEIDER, MICHAEL J (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:J
Other - Last Name:SCHNEIDER,DC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3641 SACRAMENTO ST
Mailing Address - Street 2:STE F
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1722
Mailing Address - Country:US
Mailing Address - Phone:415-292-7878
Mailing Address - Fax:415-346-2446
Practice Address - Street 1:3641 SACRAMENTO ST
Practice Address - Street 2:STE F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1722
Practice Address - Country:US
Practice Address - Phone:415-292-7878
Practice Address - Fax:415-346-2446
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor