Healthcare Provider Details

I. General information

NPI: 1740322577
Provider Name (Legal Business Name): WILLIAM SCHNEIDER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 03/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W NETHERWOOD ST
OREGON WI
53575-1100
US

IV. Provider business mailing address

2702 MONROE ST
MADISON WI
53711-1888
US

V. Phone/Fax

Practice location:
  • Phone: 608-835-8635
  • Fax:
Mailing address:
  • Phone: 608-316-6972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3765-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: