Healthcare Provider Details

I. General information

NPI: 1992576862
Provider Name (Legal Business Name): TAYLOR SCHAUB DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 SAINT ANDREWS AVE
EDINBURGH IN
46124-9233
US

IV. Provider business mailing address

11 TRAFALGAR SQ
TRAFALGAR IN
46181-9515
US

V. Phone/Fax

Practice location:
  • Phone: 309-357-3133
  • Fax:
Mailing address:
  • Phone: 317-680-9103
  • Fax: 317-878-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08003433A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: