Healthcare Provider Details

I. General information

NPI: 1508969171
Provider Name (Legal Business Name): SCHALL CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20241 VALLEY BLVD SUITE D
TEHACHAPI CA
93561
US

IV. Provider business mailing address

PO BOX 28 20241 VALLEY BLVD SUITE D
TEHACHAPI CA
93561
US

V. Phone/Fax

Practice location:
  • Phone: 661-822-0811
  • Fax: 661-822-0905
Mailing address:
  • Phone: 661-822-0811
  • Fax: 661-822-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC15374
License Number StateCA

VIII. Authorized Official

Name: DR. JEFFREY RICHARD SCHALL
Title or Position: CEO PRESIDENT
Credential: DC
Phone: 661-822-0811