Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4953 | KS |
NPI | 1003866831 |
---|---|
Provider Name | Dr. Christopher David Schroeder |
First Address | Hutchinson, KS 67502-2412 |
Second Address | Hutchinson, KS 67502-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 12/08/2015 |