Doctor Name: | DR. PEGGY JO SCHELL |
NPI Number: | 1881645950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | OS007074E |
Business Practice Address: | 1000 Market St Suite 35 Bloomsburg, PA - 178152600 |
Business Phone Number: | 5703891607 |
Business Fax Number: | |
Mailing Address: | 1000 Market St, Suite 35 BLOOMSBURG |
State: | PA |
Postal Code: | 178152600 |
Phone Number: | 5703891607 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2006 |
NPI Last Update Date: | 11/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS007074E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |