Provider Demographics
NPI:1447642830
Name:SCHUERLEIN CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SCHUERLEIN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:SCHUERLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-338-3405
Mailing Address - Street 1:310 DIXON RD
Mailing Address - Street 2:
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804-2182
Mailing Address - Country:US
Mailing Address - Phone:518-338-3405
Mailing Address - Fax:518-338-3413
Practice Address - Street 1:310 DIXON RD
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-2182
Practice Address - Country:US
Practice Address - Phone:518-338-3405
Practice Address - Fax:518-338-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012573-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty