Healthcare Provider Details

I. General information

NPI: 1922096288
Provider Name (Legal Business Name): KIRK L SCHOENMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 NORTH HIGH ST. STE 202
WORTHINGTON OH
43085
US

IV. Provider business mailing address

7100 NORTH HIGH ST. STE 202
WORTHINGTON OH
43085
US

V. Phone/Fax

Practice location:
  • Phone: 614-547-0160
  • Fax: 614-547-0161
Mailing address:
  • Phone: 614-547-0160
  • Fax: 614-547-0161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number1108
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: