Provider Demographics
NPI:1457712812
Name:MCCLINTOCK, EMMA SCHROEDER (DC)
Entity Type:Individual
Prefix:DR
First Name:EMMA
Middle Name:SCHROEDER
Last Name:MCCLINTOCK
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 1:6020 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:FRUITPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49415-9501
Mailing Address - Country:US
Mailing Address - Phone:231-402-0081
Mailing Address - Fax:
Practice Address - Street 1:6020 WILSON RD
Practice Address - Street 2:
Practice Address - City:FRUITPORT
Practice Address - State:MI
Practice Address - Zip Code:49415-9501
Practice Address - Country:US
Practice Address - Phone:231-402-0081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor