Healthcare Provider Details

I. General information

NPI: 1528116688
Provider Name (Legal Business Name): JAMES ANDREW SCHAIBLE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15388 MONETA RD
MONETA VA
24121-5876
US

IV. Provider business mailing address

15388 MONETA RD
MONETA VA
24121-5876
US

V. Phone/Fax

Practice location:
  • Phone: 540-297-1085
  • Fax: 540-297-1893
Mailing address:
  • Phone: 540-297-1085
  • Fax: 540-297-1893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104000790
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: