Healthcare Provider Details

I. General information

NPI: 1427112234
Provider Name (Legal Business Name): JOSHUA M SCHLADE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 E MAIN ST
MONTPELIER OH
43543-1247
US

IV. Provider business mailing address

PO BOX 46
MONTPELIER OH
43543-0046
US

V. Phone/Fax

Practice location:
  • Phone: 419-485-5487
  • Fax: 419-485-5350
Mailing address:
  • Phone: 419-485-5487
  • Fax: 419-485-5350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2607
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: