MEDICARE: SCHIRMER CHIROPRACTIC 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	261Q00000X	Clinic/Center	3328	SC

General Provider Information

NPI Number	:	1497942510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHIRMER CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	1171 MARKET ST
Second Line	:	SUITE 112
City	:	FORT MILL
State	:	SC
Zip	:	29708-6500
Country	:	US
Telephone Number	:	803-802-7799
Fax Number	:	803-802-7850

Provider Business Practice Location Address
First Line	:	1171 MARKET ST
Second Line	:	SUITE 112
City	:	FORT MILL
State	:	SC
Zip	:	29708-6500
Country	:	US
Telephone Number	:	803-802-7799
Fax Number	:	803-802-7850

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HEIDI LYNN SCHIRMER
Credential	:	D.C.
Telephone Number	:	803-802-7799

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/28/2009

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