Provider Demographics
NPI:1356391858
Name:SCHICK, ROBERT MORRIS (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MORRIS
Last Name:SCHICK
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 1:140 MAYHEW WAY
Mailing Address - Street 2:SUITE 900
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523
Mailing Address - Country:US
Mailing Address - Phone:925-274-1000
Mailing Address - Fax:925-274-1002
Practice Address - Street 1:140 MAYHEW WAY
Practice Address - Street 2:SUITE 900
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523
Practice Address - Country:US
Practice Address - Phone:925-274-1000
Practice Address - Fax:925-274-1002
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC21120OtherLICENSE
CA4513436Medicaid
CADC21120OtherLICENSE
U18841Medicare UPIN