Healthcare Provider Details

I. General information

NPI: 1710003769
Provider Name (Legal Business Name): KAREN ANN SCHADLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 HWY 62-412
HARDY AR
72542
US

IV. Provider business mailing address

3115 HWY 62-412
HIGHLAND AR
72542
US

V. Phone/Fax

Practice location:
  • Phone: 870-856-4004
  • Fax: 870-856-4004
Mailing address:
  • Phone: 870-856-4004
  • Fax: 870-856-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN ANN SCHADLER
Title or Position: OWNER
Credential:
Phone: 870-856-4004