Healthcare Provider Details

I. General information

NPI: 1871662965
Provider Name (Legal Business Name): WILLIAM G. SCHROEDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 FENBROOK WAY SW
MARIETTA GA
30064-1680
US

IV. Provider business mailing address

356 FENBROOK WAY SW
MARIETTA GA
30064-1680
US

V. Phone/Fax

Practice location:
  • Phone: 908-229-4667
  • Fax:
Mailing address:
  • Phone: 908-229-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number38MC00320400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00320400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: