Healthcare Provider Details

I. General information

NPI: 1457482689
Provider Name (Legal Business Name): FRANK J. SCHAUB D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 W SOUTH BOULDER RD BLDG C
LOUISVILLE CO
80027-2401
US

IV. Provider business mailing address

153 WARD CT
LAKEWOOD CO
80228-5019
US

V. Phone/Fax

Practice location:
  • Phone: 970-390-2669
  • Fax: 303-536-6175
Mailing address:
  • Phone: 970-390-2669
  • Fax: 303-536-6175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4073
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2965
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: