MEDICARE: SCHUGEL FAMILY CHIROPRACTIC, P.A.

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	4317	MN

General Provider Information

NPI Number	:	1740587997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHUGEL FAMILY CHIROPRACTIC, P.A.

Provider Business Mailing Address
First Line	:	1706 LOR RAY DR
Second Line	:
City	:	NORTH MANKATO
State	:	MN
Zip	:	56003-1939
Country	:	US
Telephone Number	:	507-385-1015
Fax Number	:	507-388-8001

Provider Business Practice Location Address
First Line	:	1706 LOR RAY DR
Second Line	:
City	:	NORTH MANKATO
State	:	MN
Zip	:	56003-1939
Country	:	US
Telephone Number	:	507-385-1015
Fax Number	:	507-388-8001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MONICA JEAN SCHUGEL
Credential	:	D.C.
Telephone Number	:	507-385-1015

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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