Healthcare Provider Details

I. General information

NPI: 1558226779
Provider Name (Legal Business Name): RICHARD SCHNEIDER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4352 W SYLVANIA AVE
TOLEDO OH
43623-3463
US

IV. Provider business mailing address

4352 W SYLVANIA AVE
TOLEDO OH
43623-3463
US

V. Phone/Fax

Practice location:
  • Phone: 419-792-7950
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.007182
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: