Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH0004640 | FL |
N | 111NN1001X | Nutrition | CH 4640 | FL |
N | 111NS0005X | Chiropractic Sports Physician | CH 4640 | FL |
NPI | 1629052097 |
---|---|
Provider Name | Dr. Claire Dean Schill |
First Address | Casselberry, FL 32707 |
Second Address | Casselberry, FL 32707-4911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 03/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U44662 | (02) | FL |