Healthcare Provider Details

I. General information

NPI: 1295964492
Provider Name (Legal Business Name): STEVEN SCHLAIS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 12/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

IV. Provider business mailing address

178 N HIGH ST
SEBASTOPOL CA
95472-3705
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-5494
  • Fax: 707-385-2157
Mailing address:
  • Phone: 760-213-0001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25504
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: