Healthcare Provider Details

I. General information

NPI: 1548962640
Provider Name (Legal Business Name): CALEB SCHREINER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36TH MEDICAL GROUP UNIT 14010 BLDG. 26012 ANDERSEN AFB
APO AP
96543-4003
US

IV. Provider business mailing address

24018 CAROLINES AVE
YIGO GU
96929-3101
US

V. Phone/Fax

Practice location:
  • Phone: 671-366-3326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.017614
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: