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NPI Code Detail

MEDICARE: DR. JESSE ALAN SCHNEIDER D.O.

MEDICARE: DR. JESSE ALAN SCHNEIDER D.O.
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 PhysicianOP00001438WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3360004345OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10150041OTHERWALABOR & INDUSTRIES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598728412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSE ALAN SCHNEIDER D.O.
Provider Business Mailing Address
First Line : 203 N WASHINGTON ST STE 300
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0254
Country : US
Telephone Number : 509-444-8888
Fax Number : 509-444-7806
Provider Business Practice Location Address
First Line : 15812 E INDIANA AVE
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-1875
Country : US
Telephone Number : 509-444-8200
Fax Number : 509-444-7806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 04/19/2018

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