Healthcare Provider Details
I. General information
NPI: 1568480952
Provider Name (Legal Business Name): ERIN LEAN SCHREIER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/17/2006
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS MO
64024-1120
US
IV. Provider business mailing address
1345 N JESSE JAMES RD
EXCELSIOR SPRINGS MO
64024-1120
US
V. Phone/Fax
- Phone: 816-630-9411
- Fax: 855-642-2047
- Phone: 816-630-9411
- Fax: 855-642-2047
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2005027703 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: