Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | AS006087 | MI |
NPI | 1003870205 |
---|---|
Provider Name | Dr. Ann M. Schonhard |
First Address | Jackson, MI 49202-3929 |
Second Address | Jackson, MI 49202-3929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 11/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
950C81093 | BCBS (01) | |
U43189 | (02) | MI |