Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | F10000606 | DE |
Y | 111NR0400X | Rehabilitation Chiropractor | F1-0000606 | DE |
NPI | 1396802294 |
---|---|
Provider Name | Dr. Scott Michael Schreiber |
First Address | Woodbury, MN 55125-3381 |
Second Address | Woodbury, MN 55125-3381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 13/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1057846 | CIGNA PPO (01) | DE |
1701059 | AMERIHEALTH PPO (01) | DE |
2372429000 | AMERIHEALTH HMO (01) | DE |
268577 | COVENTRY (01) | DE |
386606CHI | BLUE CROSS AND BLUE SHIEL (01) | DE |
VOO261 | (02) | DE |