Healthcare Provider Details

I. General information

NPI: 1235120940
Provider Name (Legal Business Name): JEFFREY J SCHEMENAUER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2303 SCHNEIDER AVE SE SUITE 150
MENOMONIE WI
54751-7005
US

IV. Provider business mailing address

2303 SCHNEIDER AVE SE SUITE 150
MENOMONIE WI
54751-7005
US

V. Phone/Fax

Practice location:
  • Phone: 715-233-1867
  • Fax: 715-233-1868
Mailing address:
  • Phone: 715-233-1867
  • Fax: 715-233-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3634
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: