=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245238351
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HAROLD D SCHOENHAUS DPM
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1740 SOUTH STREET SUITE 500
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19146-8400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-546-1618
-----------------------------------------------------
Fax | 215-546-9905
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1740 SOUTH STREET SUITE 500
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19146-8400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-546-1618
-----------------------------------------------------
Fax | 215-546-9905
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | SC001395L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------