MEDICARE: PATRICK C. SCHIEFELBEIN DO

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	208600000X	Surgery Physician	E8357	AR

General Provider Information

NPI Number	:	1184868291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK C. SCHIEFELBEIN DO

Provider Business Mailing Address
First Line	:	603-2 N PROGRESS AVE
Second Line	:	STE 200
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-4206
Country	:	US
Telephone Number	:	479-524-9536
Fax Number	:	479-524-4363

Provider Business Practice Location Address
First Line	:	603-2 N PROGRESS AVE
Second Line	:	SUITE 200
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-4063
Country	:	US
Telephone Number	:	479-215-3040
Fax Number	:	479-524-4363

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

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	09/15/2020

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