Provider Demographics
NPI:1700982667
Name:SCHOTT, EDWARD HENRY (DC)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:HENRY
Last Name:SCHOTT
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 1:2753 FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-5613
Mailing Address - Country:US
Mailing Address - Phone:904-262-9444
Mailing Address - Fax:904-262-3750
Practice Address - Street 1:2970 HARTLEY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-8227
Practice Address - Country:US
Practice Address - Phone:904-262-9444
Practice Address - Fax:904-262-3750
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 2978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88269Medicare ID - Type UnspecifiedMEDICARE