Healthcare Provider Details

I. General information

NPI: 1285826487
Provider Name (Legal Business Name): JENNIFER M SCHNEIDLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SUGAR CAMP CIR STE 200
OAKWOOD OH
45409-1979
US

IV. Provider business mailing address

3170 KETTERING BLVD BUILDING B, 3RD FLOOR
MORAINE OH
45439
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-6800
  • Fax: 937-208-2139
Mailing address:
  • Phone: 937-991-3191
  • Fax: 937-223-9811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35. 092577
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: