MEDICARE: JONATHAN SCHREIBER DC

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	14492	CA

General Provider Information

NPI Number	:	1588760748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN SCHREIBER DC

Provider Business Mailing Address
First Line	:	6201 FLORIO ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1333
Country	:	US
Telephone Number	:	510-428-1234
Fax Number	:	510-428-2705

Provider Business Practice Location Address
First Line	:	6201 FLORIO ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1333
Country	:	US
Telephone Number	:	510-428-1234
Fax Number	:	510-428-2705

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	07/08/2007

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Directions to “ JONATHAN SCHREIBER DC” Practice Location

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