Provider Demographics
NPI:1811528979
Name:BRETT D SCHOCH D C P A
Entity type:Organization
Organization Name:BRETT D SCHOCH D C P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHOCH
Authorized Official - Suffix:
Authorized Official - Credentials:D C P A
Authorized Official - Phone:772-302-9580
Mailing Address - Street 1:2502 QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34947-4766
Mailing Address - Country:US
Mailing Address - Phone:772-302-9580
Mailing Address - Fax:
Practice Address - Street 1:2502 QUINCY AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-4766
Practice Address - Country:US
Practice Address - Phone:772-302-9580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVING WATERS WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-28
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1174514376OtherCHIROPRACTOR