MEDICARE: SCHONE'S CHIROPRACTIC CLINIC, INC

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	656	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DG9997	OTHER	OH	RAILROAD MEDICARE GROUP NUMBER
5	350030249	OTHER	OH	RAILROAD MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	SC9289931	OTHER		JOHNSTOWN OFFICE PTAN GROUP NUMBER
3	50352625800	OTHER	OH	BWC PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073794541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHONE'S CHIROPRACTIC CLINIC, INC

Provider Business Mailing Address
First Line	:	2020 BRICE RD
Second Line	:	SUITE 135
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-3428
Country	:	US
Telephone Number	:	614-868-8950
Fax Number	:	614-868-1074

Provider Business Practice Location Address
First Line	:	2020 BRICE RD
Second Line	:	SUITE 135
City	:	REYNOLDSBURG
State	:	OH
Zip	:	43068-3428
Country	:	US
Telephone Number	:	614-868-8950
Fax Number	:	614-868-1074

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETH L. SCHONE
Credential	:	DC
Telephone Number	:	614-868-8950

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	06/10/2008

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Directions to “SCHONE'S CHIROPRACTIC CLINIC, INC ” Practice Location

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