MEDICARE: DR. JOSEPH JOHN SCHNEIDERBAUER 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	038012839	IL

General Provider Information

NPI Number	:	1538542535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JOHN SCHNEIDERBAUER D.C.

Provider Business Mailing Address
First Line	:	105 W 3RD ST
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-3504
Country	:	US
Telephone Number	:	815-590-5483
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 W 3RD ST
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-3504
Country	:	US
Telephone Number	:	815-590-5483
Fax Number	:

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

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	12/07/2016

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