Healthcare Provider Details

I. General information

NPI: 1871559385
Provider Name (Legal Business Name): STEVEN SCHNEIDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 ENTERPRISE DR
ANDERSON IN
46013-9670
US

IV. Provider business mailing address

8465 KEYSTONE XING 210
INDIANAPOLIS IN
46240-4354
US

V. Phone/Fax

Practice location:
  • Phone: 765-374-6044
  • Fax: 317-757-8491
Mailing address:
  • Phone: 317-870-1396
  • Fax: 317-757-8491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberO1038074A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: