Healthcare Provider Details

I. General information

NPI: 1114164712
Provider Name (Legal Business Name): SCHOUVAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2009
Last Update Date: 01/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8587 EVERGLADE DR
SACRAMENTO CA
95826-3644
US

IV. Provider business mailing address

8587 EVERGLADE DR
SACRAMENTO CA
95826-3644
US

V. Phone/Fax

Practice location:
  • Phone: 916-202-4940
  • Fax: 916-452-5070
Mailing address:
  • Phone: 916-202-4940
  • Fax: 916-452-5070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: HEATHER LYNNE SCHOUWEILER
Title or Position: OWNER
Credential:
Phone: 916-452-5070