Healthcare Provider Details

I. General information

NPI: 1245231323
Provider Name (Legal Business Name): THADDEAUS CHRISTOPHER SCHRICKEL DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 CADIZ RD
WINTERSVILLE OH
43953-7630
US

IV. Provider business mailing address

1562 CADIZ RD
WINTERSVILLE OH
43953-7630
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-6235
  • Fax: 740-264-9395
Mailing address:
  • Phone: 740-264-6235
  • Fax: 740-264-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1816
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: