MEDICARE: B. SCHACHTSCHNEIDER CHIRO CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC17868	CA

General Provider Information

NPI Number	:	1063749216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B. SCHACHTSCHNEIDER CHIRO CORP.

Provider Business Mailing Address
First Line	:	2903 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5901
Country	:	US
Telephone Number	:	619-299-2182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 4TH AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-5901
Country	:	US
Telephone Number	:	619-299-2182
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BODO SCHACHTSCHNEIDER
Credential	:	DC
Telephone Number	:	619-299-2182

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	11/09/2009

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Directions to “B. SCHACHTSCHNEIDER CHIRO CORP. ” Practice Location

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