Healthcare Provider Details

I. General information

NPI: 1871202341
Provider Name (Legal Business Name): MP HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 11/23/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1178 FREMONT CT STE 1B
ELKHART IN
46516-9321
US

IV. Provider business mailing address

1178 FREMONT CT STE 1B
ELKHART IN
46516-9321
US

V. Phone/Fax

Practice location:
  • Phone: 574-218-6512
  • Fax: 574-293-7004
Mailing address:
  • Phone: 574-536-3260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARK ALAN SCHNEIDER
Title or Position: PRESIDENT
Credential: DC
Phone: 574-536-3260