Healthcare Provider Details

I. General information

NPI: 1134219538
Provider Name (Legal Business Name): BARBARA MARIE SCHNEIDER RD LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 09/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAHC - VICENZA UNIT 31403 BOX 13
APO AE
09630
US

IV. Provider business mailing address

USAHC - VICENZA UNIT 31403 BOX 13
APO AE
09630
US

V. Phone/Fax

Practice location:
  • Phone: 011390444718010
  • Fax:
Mailing address:
  • Phone: 011390444718010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT06143
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: