Provider Demographics
NPI:1669427779
Name:SCHWENDEMANN, STEVEN L (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:SCHWENDEMANN
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 1:1026 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-4002
Mailing Address - Country:US
Mailing Address - Phone:515-576-3251
Mailing Address - Fax:
Practice Address - Street 1:1026 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-4002
Practice Address - Country:US
Practice Address - Phone:515-576-3251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1150201Medicaid
IA27603OtherBLUE CROSS/BLUE SHIELD
IAI2139Medicare ID - Type UnspecifiedMEDICARE