Healthcare Provider Details

I. General information

NPI: 1942240270
Provider Name (Legal Business Name): DEBORAH BELL SCHUSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 S ADAMS ST
CARTHAGE IL
62321-1600
US

IV. Provider business mailing address

2708 GHOST HOLLOW RD
QUINCY IL
62305-8520
US

V. Phone/Fax

Practice location:
  • Phone: 217-357-6570
  • Fax: 217-357-6564
Mailing address:
  • Phone: 217-224-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: