Individual
DR. JON SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1222 22ND AVE S, BROOKINGS, SD 57006-2804
(605) 696-7222
(605) 692-6624
Mailing address
1222 22ND AVE S, BROOKINGS, SD 57006-2804
(605) 696-7222
(605) 692-6624
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
956
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4995636
BLUE CROSS BLUE SHIELD
SD
05
—
7601325
—
SD
Enumeration date
07/17/2006
Last updated
11/10/2021
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