Healthcare Provider Details

I. General information

NPI: 1003066549
Provider Name (Legal Business Name): CHRISTOPHER DAVID SCHRIEBER M.S., PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2008
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST MARBURG B-186
BALTIMORE MD
21287-0005
US

IV. Provider business mailing address

9463 SEVEN COURTS DR
BALTIMORE MD
21236-4714
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-8708
  • Fax:
Mailing address:
  • Phone: 410-529-9429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC03884
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1080306
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: