=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700215522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. CHRISTINE A. SCHLETER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2013
-----------------------------------------------------
Last Update Date | 11/02/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40 FAIRWAY DR
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33441-1854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-428-4770
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 SW 11TH PL 405A
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33432-7143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-234-4420
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTIC PHYSICIAN
-----------------------------------------------------
Name | DR. CHRISTINE ANN SCHLETER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 954-234-4420
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number | CH7931
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------