Healthcare Provider Details

I. General information

NPI: 1396046017
Provider Name (Legal Business Name): RICHARD E. SCHLUESSEL,MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2010
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9149 ESTATE THOMAS SUITE 208
ST THOMAS VI
00802-2615
US

IV. Provider business mailing address

9149 ESTATE THOMAS SUITE 208
ST THOMAS VI
00802-2615
US

V. Phone/Fax

Practice location:
  • Phone: 340-714-1122
  • Fax: 340-715-4313
Mailing address:
  • Phone: 340-714-1122
  • Fax: 340-715-4313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberVI1644
License Number StateVI

VIII. Authorized Official

Name: DR. RICHARD E SCHLUESSEL
Title or Position: PRESIDENT
Credential: MD
Phone: 340-714-1122