1437127701 NPI number — SCHRAMM CHIROPRACTIC CENTER, P.A.

Table of content: (NPI 1437127701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437127701 NPI number — SCHRAMM CHIROPRACTIC CENTER, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SCHRAMM CHIROPRACTIC CENTER, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437127701
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8195 N MILITARY TRAIL
Provider Second Line Business Mailing Address:
SUITES E & F
Provider Business Mailing Address City Name:
PALM BEACH GARDENS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-622-7392
Provider Business Mailing Address Fax Number:
561-622-7355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8195 N MILITARY TRAIL
Provider Second Line Business Practice Location Address:
SUITES E & F
Provider Business Practice Location Address City Name:
PALM BEACH GARDENS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-622-7392
Provider Business Practice Location Address Fax Number:
561-622-7355
Provider Enumeration Date:
03/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHRAMM
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-622-7392

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH5961 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 22443 . This is a "PROVIDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 4402185 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1437127701 . This is a "NATIONAL PROVIDER IDENTIF" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: K1053 . This is a "MEDICARE SENDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 380386400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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