Healthcare Provider Details

I. General information

NPI: 1720379381
Provider Name (Legal Business Name): MATTHEW GERARD SCHIEBNER NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2011
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PINCKNEY BLVD
BEAUFORT SC
29902-6122
US

IV. Provider business mailing address

11 STEPPING STONE WAY
BLUFFTON SC
29910-4428
US

V. Phone/Fax

Practice location:
  • Phone: 843-770-0444
  • Fax: 843-579-3771
Mailing address:
  • Phone: 989-714-9287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704246701
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: