Healthcare Provider Details
I. General information
NPI: 1326226010
Provider Name (Legal Business Name): KATHERINE AVEY SCHNEIDER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2008
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7787 JOAN DR
WEST CHESTER OH
45069-3682
US
IV. Provider business mailing address
7787 JOAN DR
WEST CHESTER OH
45069-3682
US
V. Phone/Fax
- Phone: 513-780-5780
- Fax: 513-755-0657
- Phone: 513-780-5780
- Fax: 513-755-0657
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NI0013X |
| Taxonomy | Independent Medical Examiner Chiropractor |
| License Number | DC-03845 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 3845 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: