Provider Demographics
NPI:1679534812
Name:SCHUMACHER CHIROPRACTIC CLINIC HOPKINS PA
Entity type:Organization
Organization Name:SCHUMACHER CHIROPRACTIC CLINIC HOPKINS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HALLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-931-9867
Mailing Address - Street 1:7900 EXCELSIOR BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-3446
Mailing Address - Country:US
Mailing Address - Phone:952-931-9867
Mailing Address - Fax:952-931-9868
Practice Address - Street 1:7900 EXCELSIOR BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-3446
Practice Address - Country:US
Practice Address - Phone:952-931-9867
Practice Address - Fax:952-931-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN001672100Medicaid
MN01184SCOtherBCBS