Healthcare Provider Details

I. General information

NPI: 1255515813
Provider Name (Legal Business Name): ROBERT A SCHRIBER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W 2ND ST SUITE 1430
DAYTON OH
45402-1500
US

IV. Provider business mailing address

130 W 2ND ST SUITE 1430
DAYTON OH
45402-1500
US

V. Phone/Fax

Practice location:
  • Phone: 937-223-4012
  • Fax: 937-223-9792
Mailing address:
  • Phone: 937-223-4012
  • Fax: 937-223-9792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number31889
License Number StateOH

VIII. Authorized Official

Name: DR. ROBERT A SCHRIBER
Title or Position: PHYSICIAN/PRESIDENT
Credential: MC
Phone: 937-223-4012