Healthcare Provider Details

I. General information

NPI: 1336559137
Provider Name (Legal Business Name): DOUGLAS C SCHROER CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 03/18/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3823 TRUEMAN CT
HILLIARD OH
43026-2496
US

IV. Provider business mailing address

3823 TRUEMAN CT
HILLIARD OH
43026-2496
US

V. Phone/Fax

Practice location:
  • Phone: 614-876-9558
  • Fax: 614-876-9570
Mailing address:
  • Phone: 614-876-9558
  • Fax: 614-876-9570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.15971
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: