MEDICARE: CAROLINE M SCHLOCKER M.D.

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	207Y00000X	Otolaryngology Physician	0101242124	VA
2	207Y00000X	Otolaryngology Physician	A136789	CA

General Provider Information

NPI Number	:	1194886549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE M SCHLOCKER M.D.

Provider Business Mailing Address
First Line	:	2233 POST ST FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3470
Country	:	US
Telephone Number	:	415-502-0498
Fax Number	:	415-885-7546

Provider Business Practice Location Address
First Line	:	2233 POST ST FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3470
Country	:	US
Telephone Number	:	415-502-0498
Fax Number	:	415-885-7546

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	08/05/2022

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Directions to “ CAROLINE M SCHLOCKER M.D.” Practice Location

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