Healthcare Provider Details

I. General information

NPI: 1396036828
Provider Name (Legal Business Name): AMI J. SCHENKEL R.D., L.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6288 SWANBROOK LN
CINCINNATI OH
45233-5203
US

IV. Provider business mailing address

6288 SWANBROOK LN
CINCINNATI OH
45233-5203
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-6468
  • Fax:
Mailing address:
  • Phone: 513-389-6468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD 3342
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2220
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: