Provider Demographics
NPI:1295893634
Name:SCHIERHOLZ, ANDREW H (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:H
Last Name:SCHIERHOLZ
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 1:3680 VINE AVE
Mailing Address - Street 2:
Mailing Address - City:HARTLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51346-7458
Mailing Address - Country:US
Mailing Address - Phone:712-728-2422
Mailing Address - Fax:
Practice Address - Street 1:128 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:HARTLEY
Practice Address - State:IA
Practice Address - Zip Code:51346-1413
Practice Address - Country:US
Practice Address - Phone:712-928-2653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4702111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNV05491Medicare UPIN