MEDICARE: SCHATT CHIROPRACTIC, INC

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	:	1528208147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHATT CHIROPRACTIC, INC

Provider Business Mailing 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	:	314-631-6638

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	:	314-631-6638

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM JOHN SCHATT III
Credential	:	D.C.
Telephone Number	:	314-631-6638

Provider Enumeration Date	:	02/22/2009
Last Update Date	:	02/22/2009

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