Healthcare Provider Details

I. General information

NPI: 1457446197
Provider Name (Legal Business Name): WILLIAM J. SCHNEIDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 ELM RD NE STE 1
WARREN OH
44483-2663
US

IV. Provider business mailing address

100 KREPS RD
NORTH LIMA OH
44452-9506
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-7246
  • Fax: 330-372-3243
Mailing address:
  • Phone: 330-372-7246
  • Fax: 330-372-3243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2266
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: