MEDICARE: DR. ELISABETH ANN SCHNEIDER 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	7993	AZ

General Provider Information

NPI Number	:	1588806418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISABETH ANN SCHNEIDER D.C.

Provider Business Mailing Address
First Line	:	1695 MESQUITE AVE STE 114
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5687
Country	:	US
Telephone Number	:	928-453-6808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1695 MESQUITE AVE STE 114
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5687
Country	:	US
Telephone Number	:	928-453-6808
Fax Number	:

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

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	12/14/2022

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