MEDICARE: ELIZABETH SCHOENEKASE DC, 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	2008011494	MO

General Provider Information

NPI Number	:	1720310014
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH SCHOENEKASE DC, INC

Provider Business Mailing Address
First Line	:	PO BOX 96
Second Line	:
City	:	FESTUS
State	:	MO
Zip	:	63028-0096
Country	:	US
Telephone Number	:	636-937-9200
Fax Number	:	636-937-0900

Provider Business Practice Location Address
First Line	:	620 COLLINS DR
Second Line	:
City	:	FESTUS
State	:	MO
Zip	:	63028-2077
Country	:	US
Telephone Number	:	636-937-9200
Fax Number	:	636-937-0900

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. ELIZABETH E SCHOENEKASE
Credential	:	DC
Telephone Number	:	636-937-9200

Provider Enumeration Date	:	02/11/2010
Last Update Date	:	02/11/2010

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