Healthcare Provider Details

I. General information

NPI: 1033102793
Provider Name (Legal Business Name): SCHLENGER CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

831 BAY AVE
CAPITOLA CA
95010-2105
US

IV. Provider business mailing address

217 AUGUSTA LN
APTOS CA
95003-4755
US

V. Phone/Fax

Practice location:
  • Phone: 831-465-0844
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCOR2160
License Number StateCA

VIII. Authorized Official

Name: DANIEL SCHLENGER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 831-465-0844