Provider Demographics
NPI:1861775199
Name:SCHIEBER, ANDREW J (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:SCHIEBER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-4410
Mailing Address - Country:US
Mailing Address - Phone:507-235-6629
Mailing Address - Fax:
Practice Address - Street 1:1125 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-4410
Practice Address - Country:US
Practice Address - Phone:507-235-6629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7026111N00000X
MT1254111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor