Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3535 | SC |
NPI | 1588691166 |
---|---|
Provider Name | Dr. Michael J Schonfeld |
First Address | Clover, SC 29710-1421 |
Second Address | Clover, SC 29710-1421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 26/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
472464331 | IRS (01) | SC |