MEDICARE: DR. RICKY D SCHAD 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	A05883	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	350055375	OTHER	IA	UNITED HEALTH CARE
3	03845	OTHER	IA	BCBS

General Provider Information

NPI Number	:	1952409534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICKY D SCHAD D.C.

Provider Business Mailing Address
First Line	:	2821 HUBBELL AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50317-3067
Country	:	US
Telephone Number	:	515-263-1313
Fax Number	:	515-262-9239

Provider Business Practice Location Address
First Line	:	2821 HUBBELL AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50317-3067
Country	:	US
Telephone Number	:	515-263-1313
Fax Number	:	515-262-9239

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/29/2020

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Directions to “ DR. RICKY D SCHAD D.C.” Practice Location

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