MEDICARE: DR. MONICA JEAN SCHUGEL 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	4317	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6167123	OTHER	MN	STATE TAX ID #
2	651095	OTHER	MN	CHIRO CARE #
3	044L5SC	OTHER	MN	BC/BS GROUP #
4	044L6SC	OTHER	MN	BC/BS INDIVIDUAL #
5	74-3067606	OTHER	MN	FED. TAX ID#
6	560065100	OTHER	MN	MN CARE #

General Provider Information

NPI Number	:	1780680249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA JEAN SCHUGEL D.C.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	01/06/2010

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