Healthcare Provider Details

I. General information

NPI: 1073514154
Provider Name (Legal Business Name): EDWARD M SCHNITZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 AIRPORT BLVD BUILDING 2, SUITE 100
MOBILE AL
36609-1987
US

IV. Provider business mailing address

3929 AIRPORT BLVD BUILDING 2, SUITE 100
MOBILE AL
36609-1987
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-8044
  • Fax: 251-272-8913
Mailing address:
  • Phone: 251-450-8044
  • Fax: 251-272-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20439
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License Number20439
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20439
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: