Provider Demographics
NPI:1649376435
Name:SCHUMACHER, ANTHONY C (DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:C
Last Name:SCHUMACHER
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 1:8320 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1601
Mailing Address - Country:US
Mailing Address - Phone:937-890-0990
Mailing Address - Fax:937-890-9938
Practice Address - Street 1:8320 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-1601
Practice Address - Country:US
Practice Address - Phone:937-890-0990
Practice Address - Fax:937-890-9938
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013706225100000X
OH2020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0291796Medicaid
OH0291796Medicaid