Provider Demographics
NPI:1447342266
Name:SCHONE, JAMES GORDON (DC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GORDON
Last Name:SCHONE
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 1:100 S HOUGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANISTIQUE
Mailing Address - State:MI
Mailing Address - Zip Code:49854-1328
Mailing Address - Country:US
Mailing Address - Phone:906-341-0730
Mailing Address - Fax:906-341-0731
Practice Address - Street 1:100 S HOUGHTON AVE
Practice Address - Street 2:
Practice Address - City:MANISTIQUE
Practice Address - State:MI
Practice Address - Zip Code:49854-1328
Practice Address - Country:US
Practice Address - Phone:906-341-0730
Practice Address - Fax:906-341-0731
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI203562464111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P25180Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER