MEDICARE: DR. WILLIAM JOHN SCHATT III D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4850	MO

General Provider Information

NPI Number	:	1518057827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOHN SCHATT III D.C.

Provider Business Mailing Address
First Line	:	9341 SOUTHTOWNE FARMS DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-7033
Country	:	US
Telephone Number	:	314-892-2555
Fax Number	:

Provider Business Practice Location Address
First Line	:	9428 GRAVOIS RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-4530
Country	:	US
Telephone Number	:	314-631-6638
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	07/08/2007

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