Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 007444 | IA |
NPI | 1003103318 |
---|---|
Provider Name | Dr. Clayton Lee Schoellerman |
First Address | Sioux Center, IA 51250-2002 |
Second Address | Sioux Center, IA 51250-2002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2011 |
Last Update Date | 20/11/2012 |