MEDICARE: ELIZABETH SCHACHTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	107093	IA
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1144477308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SCHACHTER

Provider Business Mailing Address
First Line	:	1026 FAIRCHILD ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-3025
Country	:	US
Telephone Number	:	319-383-0024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 FAIRCHILD ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-3025
Country	:	US
Telephone Number	:	319-383-0024
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	07/07/2021

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