Healthcare Provider Details

I. General information

NPI: 1700954864
Provider Name (Legal Business Name): JOSEPH RICHARD SCHNEIDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DR. JOSEPH SCHNEIDER

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 DICKINSON DR STE 310
CHADDS FORD PA
19317-9672
US

IV. Provider business mailing address

6 DICKINSON DR STE 310
CHADDS FORD PA
19317-9672
US

V. Phone/Fax

Practice location:
  • Phone: 610-544-9800
  • Fax: 267-313-1194
Mailing address:
  • Phone: 610-544-9800
  • Fax: 267-313-1194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDL003651L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC003651L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1070470
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: