Organization Name: | SCHEIDLER MEDICAL PREFERRED, LLC |
NPI Number: | 1780935254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY E SCHEIDLER (OWNER) |
Mailing Address: | 543 Park Ave Hamilton |
State: | OH US |
Postal Code: | 450133033 |
Phone Number: | 5137370257 |
Fax Number: | 5137373627 |
NPI Enumeration Date: | 09/25/2012 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |