Provider Demographics
NPI:1720310014
Name:ELIZABETH SCHOENEKASE DC, INC
Entity Type:Organization
Organization Name:ELIZABETH SCHOENEKASE DC, INC
Other - Org Name:CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHOENEKASE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-937-9200
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-0096
Mailing Address - Country:US
Mailing Address - Phone:636-937-9200
Mailing Address - Fax:636-937-0900
Practice Address - Street 1:620 COLLINS DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-2077
Practice Address - Country:US
Practice Address - Phone:636-937-9200
Practice Address - Fax:636-937-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008011494111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty