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NPI Code Detail

MEDICARE: MR. GEORGE PAUL SCHNEIDER II MD

MEDICARE: MR. GEORGE PAUL SCHNEIDER II MD
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
1207Q00000XFamily Medicine Physician01035203IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000082845OTHERINBCBS
210337OTHERINPHP
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184624249
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE PAUL SCHNEIDER II MD
Provider Business Mailing Address
First Line : 3702 NEW VISION DR
Second Line : BLDG B
City : FORT WAYNE
State : IN
Zip : 46845-1703
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Provider Business Practice Location Address
First Line : 1025 MANCHESTER AVE
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 12/02/2018

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