Doctor Name: | MR. BRADLEY ROBERT SCHEIBER |
NPI Number: | 1083749600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C. PED, L. PED |
License Number: | L1549 |
Business Practice Address: | 390 W Market St Suite 1 Tiffin, OH - 448832608 |
Business Phone Number: | 4194471981 |
Business Fax Number: | |
Mailing Address: | 3768 S County Road 23, ATTICA |
State: | OH |
Postal Code: | 448079589 |
Phone Number: | 4194269314 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | L1549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |