Individual
DR. MARK ALAN SCHNEIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1178 FREMONT CT, ELKHART, IN 46516-9321
(574) 293-7000
(574) 293-7004
Mailing address
1178 FREMONT CT, ELKHART, IN 46516-9321
(574) 293-7000
(574) 293-7004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001048
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276845
ANTHEM BCBS PROVIDER #
IN
05
—
100113340A
—
IN
01
—
4354978
AETNA PROVIDER #
IN
Enumeration date
07/07/2006
Last updated
03/29/2011
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