Healthcare Provider Details

I. General information

NPI: 1407827181
Provider Name (Legal Business Name): DAVID CHARLES SCHNABEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 ROBERT GRANT AVE WALTER REED ARMY INSTITUTE OF RESEARCH
SILVER SPRING MD
20910-7500
US

IV. Provider business mailing address

3069 AVON LAKE RD
LITCHFIELD OH
44253-9511
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-3170
  • Fax: 301-319-9104
Mailing address:
  • Phone: 808-220-9652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number12849
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: