Healthcare Provider Details

I. General information

NPI: 1649376435
Provider Name (Legal Business Name): ANTHONY C SCHUMACHER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 N MAIN ST
DAYTON OH
45415-1601
US

IV. Provider business mailing address

8320 N MAIN ST
DAYTON OH
45415-1601
US

V. Phone/Fax

Practice location:
  • Phone: 937-890-0990
  • Fax: 937-890-9938
Mailing address:
  • Phone: 937-890-0990
  • Fax: 937-890-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2020
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number013706
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: