Provider Demographics
NPI:1023349321
Name:SCHOFIELD, FJ (DC)
Entity type:Individual
Prefix:DR
First Name:FJ
Middle Name:
Last Name:SCHOFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 E PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-5383
Mailing Address - Country:US
Mailing Address - Phone:262-334-8188
Mailing Address - Fax:602-938-5084
Practice Address - Street 1:820 E PARADISE DR
Practice Address - Street 2:
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-5383
Practice Address - Country:US
Practice Address - Phone:262-334-8188
Practice Address - Fax:262-334-8166
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8105111N00000X
WI4575-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor