MEDICARE: KATHLEEN A. SCHUBEL D.C., P.A.

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	CH 7425	FL

General Provider Information

NPI Number	:	1366431884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN A. SCHUBEL D.C., P.A.

Provider Business Mailing Address
First Line	:	3612 E BAY DR
Second Line	:
City	:	HOLMES BEACH
State	:	FL
Zip	:	34217-2038
Country	:	US
Telephone Number	:	941-778-0722
Fax Number	:	941-779-0722

Provider Business Practice Location Address
First Line	:	3612 E BAY DR
Second Line	:
City	:	HOLMES BEACH
State	:	FL
Zip	:	34217-2038
Country	:	US
Telephone Number	:	941-778-0722
Fax Number	:	941-779-0722

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. KATHLEEN A GOERG
Credential	:	D.C.
Telephone Number	:	941-778-0722

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/22/2020

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