Healthcare Provider Details

I. General information

NPI: 1861449779
Provider Name (Legal Business Name): PAUL ERNEST SCHREIBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 MEMORIAL ST
PROSSER WA
99350-1524
US

IV. Provider business mailing address

107 EASY ST
PROSSER WA
99350-9565
US

V. Phone/Fax

Practice location:
  • Phone: 509-786-2222
  • Fax: 509-786-6612
Mailing address:
  • Phone: 509-786-2222
  • Fax: 509-786-6612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD00039806
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: