Healthcare Provider Details

I. General information

NPI: 1346216496
Provider Name (Legal Business Name): THOMAS PAUL SCHULBE RPA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PENINSULA REGIONAL MEDICAL CENTER 100 EAST CARROLL ST
SALISBURY MD
21801
US

IV. Provider business mailing address

8975 MAR LYNN DR
DELMAR MD
21875-2465
US

V. Phone/Fax

Practice location:
  • Phone: 410-543-7356
  • Fax:
Mailing address:
  • Phone: 410-896-4460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License NumberR0004598
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: